Polyarteritis nodosa presenting with frank hematuria

Authors

  • Muhammad Shabi Ahmad Department of Urology, The James Cook University Hospital, Middlesbrough, UK
  • Aninda Saha Department of Radiology, The James Cook University Hospital, Middlesbrough, UK
  • David Reaich Department of Radiology, The James Cook University Hospital, Middlesbrough, UK
  • Geoffery P. Naisby Department of Radiology, The James Cook University Hospital, Middlesbrough, UK
  • Alaiyi Fred West Department of Nephrology, The James Cook University Hospital, Middlesbrough, UK

DOI:

https://doi.org/10.5489/cuaj.973

Abstract

Polyarteritis nodosa (PAN) is an uncommon systemic vasculitis
characterized by necrotizing inflammation of small- or mediumsized
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.

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Author Biographies

Muhammad Shabi Ahmad, Department of Urology, The James Cook University Hospital, Middlesbrough, UK

Aninda Saha, Department of Radiology, The James Cook University Hospital, Middlesbrough, UK

David Reaich, Department of Radiology, The James Cook University Hospital, Middlesbrough, UK

Geoffery P. Naisby, Department of Radiology, The James Cook University Hospital, Middlesbrough, UK

Alaiyi Fred West, Department of Nephrology, The James Cook University Hospital, Middlesbrough, UK

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How to Cite

Ahmad, M. S., Saha, A., Reaich, D., Naisby, G. P., & West, A. F. (2013). Polyarteritis nodosa presenting with frank hematuria. Canadian Urological Association Journal, 4(6), E172-E174. https://doi.org/10.5489/cuaj.973

Issue

Vol. 4 No. 6 (2010): CUAJ December

Section

Case Report

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