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  Vol. 161 No. 7, April 9, 2001 TABLE OF CONTENTS
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Polyarteritis Nodosa Presenting as an Acute Bilateral Epididymitis

Arch Intern Med. 2001;161:1008.

Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

Polyarteritis nodosa (PAN) is a necrotizing vasculitis of small and medium-sized muscular arteries without glomerulonephritis or vasculitis in arterioles, capillaries, or venules.1 It is a rare disease, with an estimated incidence of 6 per 100 000 habitants. Clinical presentation of PAN is often nonspecific. Presenting symptoms are usually weight loss (16%-66 %), fever (36%-65 %), and myalgias (30%-73 %).2 Patients may also present with clinical symptoms related to vascular involvement of a particular organ, such as multifocal mononeuropathy multiplex or nephropathy. We report a case of PAN with epididymitis as presenting symptom.

Report of a Case

A 67-year-old man was referred to the Department of Urology because of an acute bilateral epididymitis. After several weeks of unsuccessful treatment with antimicrobial therapy for a presumed bacterial epididymitis, the patient was transferred to our Department of Internal Medicine. At that point, he complained of testicular tenderness and swelling, fever, weight loss, and tenderness of the upper leg . . . [Full Text of this Article]


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