Granulomatosis with Polyangiitis (Wegener's Granulomatosis) Accompanied by Dysuria.
Hisashi TakeuchiIsao KurodaIssei TakizawaTeiichiro AoyagiMasaaki TachibanaPublished in: Case reports in urology (2016)
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.
Keyphrases
- benign prostatic hyperplasia
- magnetic resonance imaging
- computed tomography
- contrast enhanced
- ultrasound guided
- fine needle aspiration
- prostate cancer
- positron emission tomography
- radical prostatectomy
- diffusion weighted imaging
- oxidative stress
- pulmonary embolism
- magnetic resonance
- single cell
- dual energy
- pet ct
- children with cerebral palsy