Orchitis: An unusual presentation of polyarteritis nodosa

• Main Authors: Nelofar Islam (Author), Debanjali Sinha (Author), Parasar Ghosh (Author), Chhanda Datta (Author), Uttara Chatterjee (Author)
• Format: Bog
• Udgivet: Wolters Kluwer Medknow Publications, 2018-01-01T00:00:00Z.
• Fag: article
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Summary

Polyarteritis nodosa (PAN), a systemic necrotizing vasculitis with multiorgan development, is generally restricted to the medium-sized muscular arteries. The varied initial clinical presentations of PAN can lead to a delayed diagnosis. We present the case of a middle-aged male patient who presented with an acute onset right-sided testicular pain as the initial clinical symptom with ischemic changes on ultrasonogram, thereby requiring orchiectomy. This was reported to be a case of tubercular epididymo-orchitis. On review, the biopsy revealed features of necrotizing arteritis as seen in PAN with fibrinoid necrosis and giant cells, thus highlighting the fact that vasculitis due to PAN may have a localized presentation at the time of diagnosis. PAN should be distinguished from other causes of epididymo-orchitis and other vasculitis lesions, the most common being tubercular etiology in the Asian population.

Emne beskrivelse

0377-4929
10.4103/IJPM.IJPM_569_17