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Polyarteritis Nodosa Presenting as an Acute Bilateral Epididymitis
Arch Intern Med. 2001;161:1008.
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| Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings. |
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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] Comment
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