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Published on: November 22, 2024
Testicular vasculitis: a diagnostic conundrum
Alice M Malpas1, Richard Y Ball2, Chetan Mukhtyar3
1Rheumatology Department, Norfolk and Norwich Hospital, Norwich, UK.
Abstract:
Vasculitis is rare in the context of testicular lesions but, when found, can be classified as a single organ vasculitis or part of a multi-organ inflammatory process. In the context of a patient with a pre-existing autoimmune disorder, this finding might cause diagnostic confusion and preferentially bias a physician towards attributing the condition to the known diagnosis or its treatment. This diagnostic bias can interfere with patient care and lead to over caution, resulting in a worse outcome for the patient involved. We describe such a patient with rheumatoid arthritis on biologic therapy.
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