Autoimmune testicular vasculitis.
A 38-year-old man presented for evaluation of new-onset left testicular pain with swelling. Testicular ultrasound revealed multiple intraparenchymal hypoechoic areas in the inferior portion of the left testicle. The patient was treated with a radical inguinal orchiectomy. Pathologic evaluation revealed intratesticular vasculitis, with involvement of medium-sized arteries. This appears to be a rare case of isolated testicular vasculitis, in the absence of any systemic symptoms.
Division of Urology, Duke University Medical Center, Durham, North Carolina 27704, USA.
Ganesh V
GV
Raj
Kenneth S
KS
Ellington
Thomas J
TJ
Polascik
D000328:Adult; D000974:Antibodies, Antinuclear / Q000097:blood; D001323:Autoantibodies / Q000097:blood; D001327:Autoimmune Diseases / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000601:surgery; D001799:Blood Sedimentation; D002097:C-Reactive Protein / Q000378:metabolism; D006801:Humans; D008297:Male; D009919:Orchiectomy / Q000379:methods; D009920:Orchitis / Q000097:blood / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D013737:Testis / Q000098:blood supply* / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D014463:Ultrasonography; D014657:Vasculitis / Q000097:blood / Q000175:diagnosis* / Q000000981:diagnostic imaging
D000974:Antibodies, Antinuclear; D001323:Autoantibodies; D002097:C-Reactive Protein