title: Testicular sarcoidosis.
abstract: A 20 year old black man presented with shortness of breath, hilar adenopathy, monoarticular arthritis, polydipsia and polyuria, and bilateral testicular masses. Transbronchial biopsy revealed noncaseating granulomas consistent with sarcoidosis. Subsequent work-up demonstrated hypothalamic dysfunction, and joint fluid analysis was consistent with sarcoid arthropathy. Concern over the possibility of a testicular neoplasm led to right testicular biopsy which revealed noncaseating granulomas consistent with testicular sarcoidosis. A short course of steroid therapy resulted in clinical improvement and complete resolution of the remaining left testicular mass.
mesh_terms: D000328:Adult; D001706:Biopsy; D006099:Granuloma / Q000175:diagnosis / Q000188:drug therapy / Q000378:metabolism; D006801:Humans; D008297:Male; D011241:Prednisone / Q000627:therapeutic use; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy / Q000378:metabolism; D013733:Testicular Diseases / Q000175:diagnosis* / Q000188:drug therapy / Q000378:metabolism
chemical_list: D011241:Prednisone