An unusual case of testicular pain.
We present the first case of lupus presenting with testicular pain in an Asian man. This gentleman presented with clear features of lupus with fever, joint pain, rash, diarrhoea and vomiting. He had typical serology consistent with active lupus. He also developed testicular pain and all his symptoms improved with oral steroids and azathioprine. It is therefore important to consider connective tissue disease in patients presenting with testicular pain that are systematically unwell.
MacIver
Helen
H
Chapel Allerton Hospital, Second Floor, Chapeltown Road, Leeds LS74SA, UK. hmakiver@hotmail.com
Hordon
Lesley
L
D000284:Administration, Oral; D000328:Adult; D001379:Azathioprine / Q000627:therapeutic use; D003937:Diagnosis, Differential; D004232:Diuretics / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D004823:Epididymitis / Q000175:diagnosis / Q000188:drug therapy / Q000209:etiology; D005923:Glomerulosclerosis, Focal Segmental / Q000150:complications / Q000188:drug therapy / Q000473:pathology; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008180:Lupus Erythematosus, Systemic / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008775:Methylprednisolone / Q000627:therapeutic use; D009920:Orchitis / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D010146:Pain / Q000175:diagnosis* / Q000188:drug therapy / Q000209:etiology; D011239:Prednisolone / Q000627:therapeutic use; D013737:Testis / Q000473:pathology* / Q000503:physiopathology; D016896:Treatment Outcome
D004232:Diuretics; D005938:Glucocorticoids; D007166:Immunosuppressive Agents; D011239:Prednisolone; D001379:Azathioprine; D008775:Methylprednisolone