Open AccessTesticular vasculitis: a diagnostic conundrum
Author(s) -
Alice Malpas,
Richard Y. Ball,
Chetan Mukhtyar,
James Mackay,
Mohammed A. Ali Omer
Publication year - 2020
Publication title -
oxford medical case reports
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.169
H-Index - 9
ISSN - 2053-8855
DOI - 10.1093/omcr/omaa028
Subject(s) - medicine , vasculitis , context (archaeology) , confusion , rheumatoid arthritis , intensive care medicine , dermatology , organ system , pathology , immunology , disease , psychology , paleontology , psychoanalysis , biology
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.