Julve Villalta Emilio, Márquez Moreno Antonio Javier, Cabra de Luna Blanca
Servicio de Urología, Hospital Clínico Universitario, Málaga, España.
Arch Esp Urol. 2003 Apr;56(3):303-4.
To describe clinical and pathological findings of a new case of juvenile gangrenous vasculitis of the scrotum, a peculiar and unusual (only 7 cases, approximately, have been previously reported) type of scrotal gangrene described by Piñol in 1973.
A 24 year-old male presented at the emergency room with a right scrotal necrotising cutaneous lesion and fever. Physical examination, complete blood count, biochemical test, roentgenographic abdominal and thoracic findings, microbiological test and biopsy were performed.
Clinical aspects (symptoms and sings) and results of complete blood count (leukocytosis), normal ultrasound exploration and biochemical and roentgenographic abdominothoracic findings, microbiological test (negative) and biopsy (necrotising vasculitis) are compatible with juvenile gangrenous vasculitis of the scrotum.
Juvenile gangrenous vasculitis of the scrotum is a rare entity which should be diagnosed by strict clinicopathological diagnostic criteria because treatment and prognosis are distinct of other numerous ulcerative scrotal diseases.
描述一例阴囊青少年坏疽性血管炎新病例的临床和病理表现，这是一种特殊且罕见的（此前大约仅报道过7例）阴囊坏疽类型，由皮诺尔于1973年描述。
一名24岁男性因右侧阴囊坏死性皮肤病变和发热到急诊室就诊。进行了体格检查、全血细胞计数、生化检查、腹部和胸部X线检查、微生物学检查及活检。
临床症状（症状和体征）、全血细胞计数结果（白细胞增多）、正常的超声检查以及腹部和胸部的生化及X线检查结果、微生物学检查（阴性）和活检（坏死性血管炎）均符合阴囊青少年坏疽性血管炎。
阴囊青少年坏疽性血管炎是一种罕见疾病，应通过严格的临床病理诊断标准进行诊断，因为其治疗和预后与其他众多溃疡性阴囊疾病不同。
