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Polyarteritis nodosa of the penis
Scandinavian Journal of Urology and Nephrology
|January 1, 1977
Summary
Polyarteritis nodosa can present as a penile nodule, mimicking cancer. This rare presentation led to misdiagnosis and delayed treatment, ultimately resulting in patient mortality.
Area of Science:
- Vascular Medicine
- Uropathology
Background:
- Polyarteritis nodosa (PAN) is a systemic vasculitis affecting medium-sized arteries.
- Isolated penile involvement in PAN is exceedingly rare.
Observation:
- A patient presented with an isolated penile nodule, initially misdiagnosed as penile cancer.
- The patient received radiotherapy and Bleomycin without therapeutic effect.
Findings:
- Postmortem examination confirmed polyarteritis nodosa affecting the kidneys and glans penis.
- The localized penile lesion was a manifestation of systemic vasculitis.
Implications:
- Highlights the importance of considering rare systemic diseases in urological presentations.
- Underscores the diagnostic challenges and potential fatal outcomes of misdiagnosing polyarteritis nodosa.