Acute, painful, and swollen testicle as the presenting feature in polyarteritis nodosa

Eur J Intern Med. 2003 Nov;14(7):441-443. doi: 10.1016/j.ejim.2003.08.004.

Abstract

A 74-year-old man presented with spiking fever, myalgias, and a painful left testicle. A diagnosis of polyarteritis nodosa (PAN) was made. Corticosteroids, in combination with cyclophosphamide, induced clinical remission.