Literature DB >> 18231620

Bilateral testicular infarction and orchiectomy as a complication of polyarteritis nodosa.

Sean P Stroup1, Shannon R Herrera, Donald S Crain.   

Abstract

We report an unusual case of a 28-year-old male with constitutional symptoms and bilateral testicular pain. After diagnosis of cytomegalovirus (CMV) hepatitis, his constitutional symptoms and testicular pain worsened despite treatment for epididymoorchitis. Ultrasound was concerning for infarction. Exploration in the operating room revealed bilateral testicular infarction requiring bilateral orchiectomy with subsequent androgen hormone replacement. Pathologic diagnosis was polyarteritis nodosa (PAN). PAN is a rare systemic vasculitis that affects multiple organs. There are no previous reports of PAN-induced vasculitis leading to bilateral testicular infarction and bilateral orchiectomy.

Entities:  

Keywords:  Androgen replacement therapy; Polyarteritis nodosa; Testicular infarction

Year:  2007        PMID： 18231620      PMCID： PMC2199501     

Source DB:  PubMed          Journal:  Rev Urol        ISSN： 1523-6161


  10 in total

1.  Testicular lesions of periarteritis nodosa, with special reference to diagnosis.

Authors:  E V DAHL; A H BAGGENSTOSS; J H DEWEERD
Journal:  Am J Med       Date:  1960-02       Impact factor: 4.965

2.  Acute, painful, and swollen testicle as the presenting feature in polyarteritis nodosa.

Authors:  C R. Susanto; G Fedder; M G. Looijen-Salamon
Journal:  Eur J Intern Med       Date:  2003-11       Impact factor: 4.487

3.  Long-term followup of polyarteritis nodosa, microscopic polyangiitis, and Churg-Strauss syndrome: analysis of four prospective trials including 278 patients.

Authors:  M Gayraud; L Guillevin; P le Toumelin; P Cohen; F Lhote; P Casassus; B Jarrousse
Journal:  Arthritis Rheum       Date:  2001-03

4.  Effects of testosterone replacement in hypogonadal men.

Authors:  P J Snyder; H Peachey; J A Berlin; P Hannoush; G Haddad; A Dlewati; J Santanna; L Loh; D A Lenrow; J H Holmes; S C Kapoor; L E Atkinson; B L Strom
Journal:  J Clin Endocrinol Metab       Date:  2000-08       Impact factor: 5.958

5.  Limited polyarteritis nodosa of the male and female reproductive systems: diagnostic and therapeutic approach.

Authors:  M Fraenkel-Rubin; D Ergas; Z M Sthoeger
Journal:  Ann Rheum Dis       Date:  2002-04       Impact factor: 19.103

6.  Testicular infarction secondary to acute inflammatory disease: demonstration by B-scan ultrasound.

Authors:  K Bird; A T Rosenfield
Journal:  Radiology       Date:  1984-09       Impact factor: 11.105

Review 7.  Polyarteritis nodosa presenting as acute orchitis: a case report and review of the literature.

Authors:  J M Teichman; R F Mattrey; A M Demby; J D Schmidt
Journal:  J Urol       Date:  1993-05       Impact factor: 7.450

8.  The American College of Rheumatology 1990 criteria for the classification of polyarteritis nodosa.

Authors:  R W Lightfoot; B A Michel; D A Bloch; G G Hunder; N J Zvaifler; D J McShane; W P Arend; L H Calabrese; R Y Leavitt; J T Lie
Journal:  Arthritis Rheum       Date:  1990-08

Review 9.  Polyarteritis nodosa masquerading as a primary testicular neoplasm: a case report and review of the literature.

Authors:  T K Huisman; W T Collins; G R Voulgarakis
Journal:  J Urol       Date:  1990-11       Impact factor: 7.450

10.  Polyarteritis nodosa related to hepatitis B virus. A prospective study with long-term observation of 41 patients.

Authors:  L Guillevin; F Lhote; P Cohen; F Sauvaget; B Jarrousse; O Lortholary; L H Noël; C Trépo
Journal:  Medicine (Baltimore)       Date:  1995-09       Impact factor: 1.889
  10 in total
  6 in total

1.  Acute scrotal pain with a twist.

Authors:  S Venugopal; D Schoeman; A Damola; B Hamid; C Powell
Journal:  Ann R Coll Surg Engl       Date:  2010-06-07       Impact factor: 1.891

2.  Polyarteritis nodosa with bilateral asynchronous testicular necrosis: a case report.

Authors:  Nicholas J Toepfer; Nektarios I Lountzis; Joseph C Ugoeke; Tammie C Ferringer
Journal:  Case Rep Urol       Date:  2011-07-31

3.  Polyarteritis nodosa presenting with bilateral testicular swelling and complicated by unilateral facial nerve palsy.

Authors:  Yuigi Yuminaga; Bethan Richards; Kris Rasiah; Ruban Thanigasalam; Bryn B Atmore; Roger Laurent
Journal:  Korean J Urol       Date:  2011-05-24

4.  Polyarteritis nodosa involving the hard palate: a case report.

Authors:  Eleonora Ortu; Davide Pietropaoli; Mario Baldi; Giuseppe Marzo; Mario Giannoni; Annalisa Monaco
Journal:  J Med Case Rep       Date:  2013-03-18

5.  Serial Ultrasonography Assessments of a Testicular Infarction Mimicking Testicular Tumor in a Behcet Disease Patient.

Authors:  Zeid Al-Ani; Syahminan Suut; Bella Huasen
Journal:  Urol Case Rep       Date:  2014-03-12

6.  Immune-Mediated Systemic Vasculitis as the Proposed Cause of Sudden-Onset Sensorineural Hearing Loss following Lassa Virus Exposure in Cynomolgus Macaques.

Authors:  Kathleen A Cashman; Eric R Wilkinson; Xiankun Zeng; Anthony P Cardile; Paul R Facemire; Todd M Bell; Jeremy J Bearss; Carl I Shaia; Connie S Schmaljohn
Journal:  mBio       Date:  2018-10-30       Impact factor: 7.867
  6 in total

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