title: Sarcoidosis with bilateral epididymal and testicular lesions.
abstract: We report a case of genital sarcoidosis that presented characteristic features on MRI. A 25-year-old man sarcoidosis patient with ocular and lung lesions presented a painful mass in the left scrotum together with systemic symptoms of fever, appetite loss, headache, and stomach-ache during the tapering of steroids. The patient was hypercalcemic, and this was thought to be the cause of his systemic symptoms. MRI showed multiple nodules of bilateral testes and enlargement of bilateral epididymis; the patient was diagnosed with testicular and epididymal lesions of sarcoidosis. An increased steroid dosage improved his hypercalcemia and genital lesions.
authors.affiliation: Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawaharacho, Sakyo-ku, Kyoto 606-8507.
authors.forename: Tomohiro
authors.initials: T
authors.lastname: Handa
authors.forename: Sonoko
authors.initials: S
authors.lastname: Nagai
authors.forename: Kunio
authors.initials: K
authors.lastname: Hamada
authors.forename: Isao
authors.initials: I
authors.lastname: Ito
authors.forename: Yuma
authors.initials: Y
authors.lastname: Hoshino
authors.forename: Michio
authors.initials: M
authors.lastname: Shigematsu
authors.forename: Takateru
authors.initials: T
authors.lastname: Izumi
authors.forename: Michiaki
authors.initials: M
authors.lastname: Mishima
mesh_terms: D000328:Adult; D001623:Betamethasone / Q000008:administration & dosage; D004822:Epididymis; D005832:Genital Diseases, Male / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D005938:Glucocorticoids / Q000008:administration & dosage; D006801:Humans; D006934:Hypercalcemia / Q000150:complications / Q000188:drug therapy; D008279:Magnetic Resonance Imaging; D008297:Male; D012507:Sarcoidosis / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D013733:Testicular Diseases / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D005938:Glucocorticoids; D001623:Betamethasone