Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra

We report a case of leukocytoclastic vasculitis-induced penile necrosis in a 69-year-old male with no previous urologic history. After suffering an ischemic event to the distal shaft of the penis as well as an ischemic event involving the right side of the bladder, he underwent suprapubic tube place...

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Detalles Bibliográficos
Autores principales: Moseley, Isabelle, Greenberg, Rachel, Wasserman, Meredith, Thavaseelan, Simone, Cancian, Madeline
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Elsevier 2021
Materias:
Trauma and Reconstruction
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551586/
https://www.ncbi.nlm.nih.gov/pubmed/34745896
http://dx.doi.org/10.1016/j.eucr.2021.101902
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author Moseley, Isabelle
Greenberg, Rachel
Wasserman, Meredith
Thavaseelan, Simone
Cancian, Madeline
author_facet Moseley, Isabelle
Greenberg, Rachel
Wasserman, Meredith
Thavaseelan, Simone
Cancian, Madeline
author_sort Moseley, Isabelle
collection PubMed
description We report a case of leukocytoclastic vasculitis-induced penile necrosis in a 69-year-old male with no previous urologic history. After suffering an ischemic event to the distal shaft of the penis as well as an ischemic event involving the right side of the bladder, he underwent suprapubic tube placement for urinary diversion. Despite attempts at anticoagulation for penile salvage, he lost the distal aspect of the glans penis to auto-necrosis. Ultimately, the underlying disease was determined to be systemic ANCA-associated vasculitis, and the patient was treated with rituximab and prednisone as well as penile wound debridement.
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spelling pubmed-85515862021-11-04 Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra Moseley, Isabelle Greenberg, Rachel Wasserman, Meredith Thavaseelan, Simone Cancian, Madeline Urol Case Rep Trauma and Reconstruction We report a case of leukocytoclastic vasculitis-induced penile necrosis in a 69-year-old male with no previous urologic history. After suffering an ischemic event to the distal shaft of the penis as well as an ischemic event involving the right side of the bladder, he underwent suprapubic tube placement for urinary diversion. Despite attempts at anticoagulation for penile salvage, he lost the distal aspect of the glans penis to auto-necrosis. Ultimately, the underlying disease was determined to be systemic ANCA-associated vasculitis, and the patient was treated with rituximab and prednisone as well as penile wound debridement. Elsevier 2021-10-19 /pmc/articles/PMC8551586/ /pubmed/34745896 http://dx.doi.org/10.1016/j.eucr.2021.101902 Text en © 2021 Published by Elsevier Inc. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the CC BY-NC-ND license (http://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Trauma and Reconstruction
Moseley, Isabelle
Greenberg, Rachel
Wasserman, Meredith
Thavaseelan, Simone
Cancian, Madeline
Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
title Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
title_full Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
title_fullStr Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
title_full_unstemmed Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
title_short Leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
title_sort leukocytoclastic vasculitis leading to penile necrosis and ischemia of the bladder and urethra
topic Trauma and Reconstruction
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8551586/
https://www.ncbi.nlm.nih.gov/pubmed/34745896
http://dx.doi.org/10.1016/j.eucr.2021.101902
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