Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria

A 65-year-old male visited us with complaints of retarded urination, dysuria, gross hematuria, and fever. Urinalysis showed pyuria. Prostatic tumor with lung metastasis was suspected from computed tomography and magnetic resonance imaging. Transurethral prostatic biopsy and bronchoscopic biopsy only...

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Detalles Bibliográficos
Autores principales: Takeuchi, Hisashi, Kuroda, Isao, Takizawa, Issei, Aoyagi, Teiichiro, Tachibana, Masaaki
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808535/
https://www.ncbi.nlm.nih.gov/pubmed/27034883
http://dx.doi.org/10.1155/2016/7812875
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author Takeuchi, Hisashi
Kuroda, Isao
Takizawa, Issei
Aoyagi, Teiichiro
Tachibana, Masaaki
author_facet Takeuchi, Hisashi
Kuroda, Isao
Takizawa, Issei
Aoyagi, Teiichiro
Tachibana, Masaaki
author_sort Takeuchi, Hisashi
collection PubMed
description A 65-year-old male visited us with complaints of retarded urination, dysuria, gross hematuria, and fever. Urinalysis showed pyuria. Prostatic tumor with lung metastasis was suspected from computed tomography and magnetic resonance imaging. Transurethral prostatic biopsy and bronchoscopic biopsy only revealed fibrinoid necrosis and inflammatory infiltration. Right lateral maxillary sinusitis was also found by MRI. ANCA testing was positive with specificity for anti-PR3 (PR3-ANCA). On the basis of these results, Granulomatosis with polyangiitis (GPA) was diagnosed. GPA involving the prostate gland is unusual, and only a few cases have previously been reported.
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spelling pubmed-48085352016-03-31 Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria Takeuchi, Hisashi Kuroda, Isao Takizawa, Issei Aoyagi, Teiichiro Tachibana, Masaaki Case Rep Urol Case Report A 65-year-old male visited us with complaints of retarded urination, dysuria, gross hematuria, and fever. Urinalysis showed pyuria. Prostatic tumor with lung metastasis was suspected from computed tomography and magnetic resonance imaging. Transurethral prostatic biopsy and bronchoscopic biopsy only revealed fibrinoid necrosis and inflammatory infiltration. Right lateral maxillary sinusitis was also found by MRI. ANCA testing was positive with specificity for anti-PR3 (PR3-ANCA). On the basis of these results, Granulomatosis with polyangiitis (GPA) was diagnosed. GPA involving the prostate gland is unusual, and only a few cases have previously been reported. Hindawi Publishing Corporation 2016 2016-03-13 /pmc/articles/PMC4808535/ /pubmed/27034883 http://dx.doi.org/10.1155/2016/7812875 Text en Copyright © 2016 Hisashi Takeuchi et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Takeuchi, Hisashi
Kuroda, Isao
Takizawa, Issei
Aoyagi, Teiichiro
Tachibana, Masaaki
Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria
title Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria
title_full Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria
title_fullStr Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria
title_full_unstemmed Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria
title_short Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria
title_sort granulomatosis with polyangiitis (wegener's granulomatosis) accompanied by dysuria
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4808535/
https://www.ncbi.nlm.nih.gov/pubmed/27034883
http://dx.doi.org/10.1155/2016/7812875
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