An unusual cause of testicular pain: single organ lymphocytic vasculitis

Letter to the Editor re: An unusual case of testicular pain; Single organ lymphocytic vasculitis, Smith et al., J Clin Urol 2019 Feb https://doi.org/10.1177/2051415818824777

“…org/10.1177/2051415818824777. 1 The case is of a 36-year-old male who presented with acute right hemiscrotal pain following a history of blunt trauma sustained while riding a bike. He was initially treated as a presumptive orchitis and subsequent ultrasonography 11 days later revealed a lesion suspicious for malignancy for which he underwent a radical orchidectomy.…”

“…Final pathological analysis revealed lymphocytic vasculitis confined to the testis. 1 The authors highlight the rarity of isolated testicular vasculitis and the difficulty in clinically differentiating it from a neoplasm, which it frequently mimics. The involvement of rheumatology is also emphasized, as the most common systemic vasculitis process involving the testis is polyarteritis nodosa.…”

“…We read with interest the recent publication by Smith et al : An unusual case of testicular pain; Single organ lymphocytic vasculitis, J Clin Urol 2019 Feb, https://doi.org/10.1177/2051415818824777. 1…”