Isolated vasculitis of the bladder

We describe a case of isolated vasculitis involving the bladder that presented with severe irritative voiding and hematuria. This case presented a diagnostic problem, because malignancy was suspected, but not confirmed by biopsies. Once the vasculitis was diagnosed, secondary systemic causes were excluded, and successful treatment was subsequently undertaken using systemic steroids. It is important to differentiate this rare pathologic entity from the much more frequent tumors of the bladder because the treatment is medical rather than surgical.