title: [Glands necrosis caused by necrotizing granulomatous arteritis].
abstract: OBJECTIVE
  To report a case of necrosis of the glans penis caused by necrotizing granulomatous arteritis, an uncommon form of presentation of this vasculitis that basically affects the upper and lower respiratory tracts and glomerulus. Furthermore, it produces ocular inflammatory lesions and in 50% of the cases skin lesions. The mean age at presentation is around 40 years and affects both males and females in the same proportion.
  
  
  METHODS
  A 68-year-old male consulted for pain and change in the color of the penis he had noted two months earlier, and gradually increasing difficulty in voiding. Patient examination revealed a hard necrotic lesion in the distal two thirds of the penis with secondary stenosis of the meatus. We review the literature on the different forms of presentation of this condition and the differential diagnosis of ischemic penile lesions.
  
  
  CONCLUSIONS
  In patients with an ischemic lesion of the glans penis, we must consider among other causes iatrogenic lesions, use of constricting devices, gangrenous pyoderma and diseases of small vessels. According to the literature, penile involvement due to necrotizing granulomatous arteritis is uncommon.
authors.affiliation: Unidad de Andrologia y Trasplante Renal, Servicio de Urología, Hospitales Universitarios Virgen del Rocío, Sevilla, España.
authors.forename: Belén
authors.initials: B
authors.lastname: Congregado Ruiz
authors.forename: Rafael Antonio
authors.initials: RA
authors.lastname: Medina López
authors.forename: Natalio
authors.initials: N
authors.lastname: Cruz Navarro
authors.forename: Francisco Javier
authors.initials: FJ
authors.lastname: Forrubia Romero
authors.forename: José
authors.initials: J
authors.lastname: Leal Arenas
authors.forename: Pedro
authors.initials: P
authors.lastname: Montañés Medina
mesh_terms: D000368:Aged; D006801:Humans; D008297:Male; D009336:Necrosis; D010409:Penile Diseases / Q000209:etiology* / Q000473:pathology*; D014657:Vasculitis / Q000150:complications*