Simultaneous testicle and epididymis vasculitis revealing granulomatosis with polyangiitis.

granulomatosis with polyangiitis testicular mass vasculitis

Journal

Clinical case reports
ISSN: 2050-0904
Titre abrégé: Clin Case Rep
Pays: England
ID NLM: 101620385

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 18 02 2022
revised: 30 06 2022
accepted: 16 07 2022
entrez: 12 8 2022
pubmed: 13 8 2022
medline: 13 8 2022
Statut: epublish

Résumé

Granulomatosis with polyangiitis (GPA) is a systemic necrotizing granulomatous vasculitis, which predominantly affects small-sized blood vessels. We aimed to report a case of GPA involving testicles and epididymis taken for malignancy. A 75-year-old patient was admitted for a painful left testicular mass. There was no extra urogenital manifestations on examination and the workup was unremarkable. Histological findings after orchidectomy revealed granulomatous inflammation of the testis and epididymis with fibrinoid necrosis and necrotic vasculitis consisting with the diagnosis of GPA. Further investigations regarding ear, nose, throat, pulmonary, and renal involvement were negative. Proteinase 3 antineutrophil cytoplasmic antibodies (PR3-ANCA) test was negative. Furthermore, infectious diseases especially tuberculosis were ruled out. Based on histopathological findings, limited GPA was diagnosed. The patient was treated with methotrexate and prednisone with good outcome. There was no relapse after 1 year of follow-up. Isolated urogenital involvement may occur at the onset of GPA and can be taken for malignancy. Histopathological findings are the gold standard for the diagnosis. Treatment is based on steroids and immunosuppressive drugs.

Identifiants

pubmed: 35957766
doi: 10.1002/ccr3.6231
pii: CCR36231
pmc: PMC9361717
doi:

Types de publication

Case Reports

Langues

eng

Pagination

e6231

Informations de copyright

© 2022 The Authors. Clinical Case Reports published by John Wiley & Sons Ltd.

Déclaration de conflit d'intérêts

None of the authors has any financial/conflicting interests to disclose.

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Auteurs

Melek Kechida (M)

Internal Medicine and Endocrinology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Kamel Ktari (K)

Urology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Mohamed Jellazi (M)

Internal Medicine and Endocrinology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Rym Mesfar (R)

Internal Medicine and Endocrinology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Ines Khochtali (I)

Internal Medicine and Endocrinology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Hammadi Saad (H)

Urology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Leila Njim (L)

Anatomical and Cytological Pathology Department, Fattouma Bourguiba University Hospital, Faculty of Medicine of Monastir University of Monastir Monastir Tunisia.

Classifications MeSH