Juvenile Gangrenous Vasculitis of the Scrotum
A 17-year-old healthy male presented to the emergency room
with painful black ulcers on his scrotum that developed
acutely over 24-hours. Other symptoms included fatigue, nausea,
and vomiting.
He had a mild leukocytosis, but was afebrile. He continued to develop
new lesions despite initiation of antibiotics at presentation.
Workup was negative for herpes simplex virus, epstein-barr virus,
human immunodeficiency virus, and Syphilis. A workup was initiated to rule out underlying
vasculitis or vasculopathy , this was also negative.
A shave-biopsy of an ulcer edge demonstrated an area of dermal
necrosis associated with dense neutrophilic inflammation, hemorrhage,
and intravascular thrombosis.
A diagnosis of Juvenile Gangrenous Vasculitis of the Scrotum was made.
He was treated with oral prednisone and immediately stopped developing
new ulcers and showed complete resolution after 6 weeks of therapy.
A 17-year-old healthy male presented to the emergency room
with painful black ulcers on his scrotum that developed
acutely over 24-hours. Other symptoms included fatigue, nausea,
and vomiting. He had a mild leukocytosis, but was afebrile.
He continued to develop new lesions despite initiation of antibiotics at presentation.
Workup was negative for herpes simplex virus, epstein-barr virus, human immunodeficiency virus
(HIV), and Syphilis.
Intern Med Open J. 2021; 5(1): 5. doi: 10.17140/IMOJ-5-116
