Sarcoidosis with bilateral epididymal and testicular lesions.
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.
Handa
Tomohiro
T
Department of Respiratory Medicine, Graduate School of Medicine, Kyoto University, 54 Shogoin Kawaharacho, Sakyo-ku, Kyoto 606-8507.
Nagai
Sonoko
S
Hamada
Kunio
K
Ito
Isao
I
Hoshino
Yuma
Y
Shigematsu
Michio
M
Izumi
Takateru
T
Mishima
Michiaki
M
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
D005938:Glucocorticoids; D001623:Betamethasone