[A Case of Systemic Polyarteritis Nodosa Presenting with Scrotal Pain].

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  • Additional Information
    • Source:
      Publisher: Editorial Board Of Acta Urologica Japonica Country of Publication: Japan NLM ID: 0421145 Publication Model: Print Cited Medium: Print ISSN: 0018-1994 (Print) Linking ISSN: 00181994 NLM ISO Abbreviation: Hinyokika Kiyo Subsets: MEDLINE
    • Publication Information:
      Publication: Kyoto : Editorial Board Of Acta Urologica Japonica
      Original Publication: Kyoto, Hinyokika Kyoshitsu, Igakubu, Kyoto Daigaku.
    • Subject Terms:
      Epididymitis* ; Genital Diseases, Male* ; Pain*/etiology ; Polyarteritis Nodosa*/complications ; Polyarteritis Nodosa*/diagnosis; Aged ; Epididymis ; Humans ; Male ; Orchiectomy ; Scrotum
    • Abstract:
      A 76-year-old man with a history of hypertension was admitted with high fever and left scrotal pain. Laboratory findings revealed high serum C-reactive protein levels. The left epididymis appeared to be swollen on computed tomography. The patient was diagnosed with bacterial epididymitis and treatment with antibiotics was initiated. Despite treatment, his left scrotal pain and fever did not improve. Additionally, he developed right scrotal and posterior neck pain. For histopathological diagnosis, a left high orchiectomy was performed and the findings revealed thickened arteriolar walls with infiltration of inflammatory cells around the testis, leading to a final diagnosis of systemic polyarteritis nodosa. Treatment with steroids led to complete resolution of the patient's systemic pain and inflammation.
    • Publication Date:
      Date Created: 20190628 Date Completed: 20190702 Latest Revision: 20190702
    • Publication Date:
      20231215
    • Accession Number:
      10.14989/ActaUrolJap_65_4_127
    • Accession Number:
      31247691