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Polyarteritis nodosa presenting with frank hematuria.
MedLine Citation:
PMID:  21749815     Owner:  NLM     Status:  PubMed-not-MEDLINE    
Abstract/OtherAbstract:
Polyarteritis nodosa (PAN) is an uncommon systemic vasculitis characterized by necrotizing inflammation of small- or medium-sized arteries. The disease normally presents with non-specific symptoms. Urological symptoms at presentation are extremely rare. We report a 65-year-old man who was diagnosed with a polyarteritis nodosa having presented atypically with left testicular pain and swelling, and an intratesticular lesion. He developed painless visible hematuria while under investigation. No gross arterio-venous fistula was seen to suggest a false aneurysm. Subsequently, laboratory studies showed positive anti-neutrophil cytoplasmic antibody levels and a raised erythrocyte sedimentation rate. This was an unusual presentation of PAN diagnosed with multidisciplinary input from the urology, radiology and nephrology teams.
Authors:
Muhammad Shabi Ahmad; Aninda Saha; David Reaich; Geoffery P Naisby; Alaiyi Fred West
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Canadian Urological Association journal = Journal de l'Association des urologues du Canada     Volume:  4     ISSN:  1911-6470     ISO Abbreviation:  Can Urol Assoc J     Publication Date:  2010 Dec 
Date Detail:
Created Date:  2011-07-13     Completed Date:  2011-07-14     Revised Date:  2011-08-01    
Medline Journal Info:
Nlm Unique ID:  101312644     Medline TA:  Can Urol Assoc J     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  E172-4     Citation Subset:  -    
Affiliation:
Department of Urology, The James Cook University Hospital, Middlesbrough, UK;
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