PMID- 31125000 OWN - NLM STAT- MEDLINE DCOM- 20200224 LR - 20200224 IS - 2531-6745 (Electronic) IS - 0392-4203 (Print) IS - 0392-4203 (Linking) VI - 90 IP - 2 DP - 2019 May 23 TI - Adverse events during testosterone replacement therapy in 95 young hypogonadal thalassemic men. PG - 228-232 LID - 10.23750/abm.v90i2.8477 [doi] AB - BACKGROUND: Hormonal treatment of hypogonadism in thalassaemia major (TM) is a complex issue due to the co-existence of other contributing factors such as severity of iron overload, associated chronic liver disease and other endocrine complications. OBJECTIVES: Data about adverse events (AEs) of testosterone replacement therapy (TRT) in hypogonadal males with TM is scarce.We report the adverse events registered during TRT in 95 young patients with TM. RESULTS: These AEs included gynecomastia, documented in 41/95 (43.1%) TM patients of mild to moderate severity (90%). Persistent pain in the injection site and local reactions to testosterone (T) skin patch occurred in a third of patients. Priapism was reported in 2 patients on treatment with intramuscular T enanthate. In both patients, substitution with T gel was successful, and no recurrence during the following 24 months was observed. CONCLUSIONS: Clinicians should exercise caution when considering TRT for hypogonadal men with TM. (www.actabiomedica.it). FAU - De Sanctis, Vincenzo AU - De Sanctis V AD - Quisisana Hospital, Ferrara. vdesanctis@libero.it. FAU - Soliman, Ashraf T AU - Soliman AT FAU - Daar, Shahina AU - Daar S FAU - Di Maio, Salvatore AU - Di Maio S LA - eng PT - Journal Article DEP - 20190523 PL - Italy TA - Acta Biomed JT - Acta bio-medica : Atenei Parmensis JID - 101295064 RN - 3XMK78S47O (Testosterone) SB - IM MH - Adolescent MH - Cohort Studies MH - Comorbidity MH - Drug-Related Side Effects and Adverse Reactions/epidemiology/*etiology/physiopathology MH - Hormone Replacement Therapy/*adverse effects/methods MH - Humans MH - Hypogonadism/diagnosis/*drug therapy/*epidemiology MH - Male MH - Monitoring, Physiologic/methods MH - Patient Safety MH - Prevalence MH - Prognosis MH - Retrospective Studies MH - Risk Assessment MH - Testosterone/administration & dosage/*adverse effects MH - Treatment Outcome MH - Young Adult MH - beta-Thalassemia/diagnosis/*epidemiology PMC - PMC6776204 COIS- Each author declares that he or she has no commercial associations (e.g. consultancies, stock ownership, equity interest, patent/licensing arrangement etc.) that might pose a conflict of interest in connection with the submitted article EDAT- 2019/05/28 06:00 MHDA- 2020/02/25 06:00 PMCR- 2019/01/01 CRDT- 2019/05/25 06:00 PHST- 2019/05/14 00:00 [received] PHST- 2019/05/14 00:00 [accepted] PHST- 2019/05/25 06:00 [entrez] PHST- 2019/05/28 06:00 [pubmed] PHST- 2020/02/25 06:00 [medline] PHST- 2019/01/01 00:00 [pmc-release] AID - ACTA-90-228 [pii] AID - 10.23750/abm.v90i2.8477 [doi] PST - epublish SO - Acta Biomed. 2019 May 23;90(2):228-232. doi: 10.23750/abm.v90i2.8477.