Scrotal necrosis and no Fournier’s in sight: a rare case of juvenile gangrenous vasculitis.

Juvenile gangrenous vasculitis of the scrotum is a rare entity, of which to our knowledge we describe the first documented case in the UK. It follows a typical disease course, demonstrated by an 18-year-old male who presented with three necrotic scrotal lesions; proceeded by 3 days of fever, pharyng...

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Publicado en:BMJ Case Reports Vol. 12; no. 2; pp. 1 - 4
Autores principales: Nettleton, Jeremy, Crawford-Smith, Hugh, Adimonye, Anthony, McMeekin, Faith
Formato: Journal Article
Publicado: BMJ Publishing Group 2/20/2019
Acceso en línea:Ver este registro en EBSCOhost
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        atl: Scrotal necrosis and no Fournier’s in sight: a rare case of juvenile gangrenous vasculitis.
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        au:
          Nettleton, Jeremy
          Crawford-Smith, Hugh
          Adimonye, Anthony
          McMeekin, Faith
        affil: Department of Urology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, UK.
      sug:
      ab: Juvenile gangrenous vasculitis of the scrotum is a rare entity, of which to our knowledge we describe the first documented case in the UK. It follows a typical disease course, demonstrated by an 18-year-old male who presented with three necrotic scrotal lesions; proceeded by 3 days of fever, pharyngitis and lethargy. Previous cases have been managed successfully with systemic steroids. On this occasion, surgical debridement was made of the necrotic areas under antibiotic cover and complete resolution was achieved with excellent wound healing and no evidence of recurrence. This case report discusses the importance of disease recognition and the merits of surgical management. We also add to the debate as to whether this disease is a variation of pyoderma gangrenosum or a distinct entity itself within the pantheon of scrotal gangrene.
      pubtype: Academic Journal
      doctype: Journal Article
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    language: English
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