Case report: Testicular manifestation of ANCA vasculitis

ANCA-associated vasculitis is a rare autoimmune disorder affecting small to medium-sized vessels, often targeting the respiratory tract and kidneys. Testicular involvement is rare and can resemble malignancy, leading to unnecessary surgery. A 36-year-old male presented with painful fingers, oral and...

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Main Authors: Noah J. Sandel, Henry Wielzen
Format: Article
Language:English
Published: Elsevier 2025-03-01
Series:Urology Case Reports
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Online Access:http://www.sciencedirect.com/science/article/pii/S2214442025000373
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author Noah J. Sandel
Henry Wielzen
author_facet Noah J. Sandel
Henry Wielzen
author_sort Noah J. Sandel
collection DOAJ
description ANCA-associated vasculitis is a rare autoimmune disorder affecting small to medium-sized vessels, often targeting the respiratory tract and kidneys. Testicular involvement is rare and can resemble malignancy, leading to unnecessary surgery. A 36-year-old male presented with painful fingers, oral and nasal ulcers, and knee arthritis. Elevated proteinase 3 (PR3) antibodies confirmed PR3 ANCA-associated vasculitis. During hospitalization, patient developed testicular pain, and an ultrasound raised suspicion of malignancy. An inguinal orchidectomy was performed, revealing inflammation consistent with vasculitis, but no malignancy. Testicular involvement in ANCA vasculitis can mimic cancer, and increased awareness may help prevent unnecessary surgical procedures.
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spelling doaj-art-cd0cac9c18564801ab2a341405c19fc72025-02-03T04:16:43ZengElsevierUrology Case Reports2214-44202025-03-0159102966Case report: Testicular manifestation of ANCA vasculitisNoah J. Sandel0Henry Wielzen1Corresponding author. Department of Urology, Amsterdam UMC, University of Amsterdam, De Boelelaan 1117, Amsterdam, Noord-Holland, 1081HV, the Netherlands.; Department of Urology, Amsterdam UMC, University of Amsterdam, Amsterdam, the NetherlandsDepartment of Urology, Amsterdam UMC, University of Amsterdam, Amsterdam, the NetherlandsANCA-associated vasculitis is a rare autoimmune disorder affecting small to medium-sized vessels, often targeting the respiratory tract and kidneys. Testicular involvement is rare and can resemble malignancy, leading to unnecessary surgery. A 36-year-old male presented with painful fingers, oral and nasal ulcers, and knee arthritis. Elevated proteinase 3 (PR3) antibodies confirmed PR3 ANCA-associated vasculitis. During hospitalization, patient developed testicular pain, and an ultrasound raised suspicion of malignancy. An inguinal orchidectomy was performed, revealing inflammation consistent with vasculitis, but no malignancy. Testicular involvement in ANCA vasculitis can mimic cancer, and increased awareness may help prevent unnecessary surgical procedures.http://www.sciencedirect.com/science/article/pii/S2214442025000373ANCA vasculitisTesticular malignancyTesticular cancerVasculitisOrchidectomy
spellingShingle Noah J. Sandel
Henry Wielzen
Case report: Testicular manifestation of ANCA vasculitis
Urology Case Reports
ANCA vasculitis
Testicular malignancy
Testicular cancer
Vasculitis
Orchidectomy
title Case report: Testicular manifestation of ANCA vasculitis
title_full Case report: Testicular manifestation of ANCA vasculitis
title_fullStr Case report: Testicular manifestation of ANCA vasculitis
title_full_unstemmed Case report: Testicular manifestation of ANCA vasculitis
title_short Case report: Testicular manifestation of ANCA vasculitis
title_sort case report testicular manifestation of anca vasculitis
topic ANCA vasculitis
Testicular malignancy
Testicular cancer
Vasculitis
Orchidectomy
url http://www.sciencedirect.com/science/article/pii/S2214442025000373
work_keys_str_mv AT noahjsandel casereporttesticularmanifestationofancavasculitis
AT henrywielzen casereporttesticularmanifestationofancavasculitis