Journal of Clinical Case Reports

Chronic Testicular Pain: A Unique Presentation of Isolated Testicular Polyarteritis Nodosa (PAN) with Hepatitis B Infection: A Case Report and a Review of the Literature

Abstract

Muhammad Asif Mangi, Vikas Bansal, Hiba Rehman and Khurram Bilal Tariq

Polyarteritis Nodosa (PAN) is a vasculitis of unknown origin that affects the medium and small arteries of our organ system. Isolated Polyarteritis Nodosa is a rare condition that may be due to modulation of local immune reaction by exposure to certain local triggering agent without any systemic immune reaction. Symptomatic PAN confined to the testis in hepatitis B infection is extremely rare and not reported frequently. We report a case of isolated testicular PAN in hepatitis B infection with chronic unilateral testicular pain and successfully treated by interferon α, systemic steroid and cyclophosphamide for 7 month.