Granulomatosis with Polyangiitis (Wegener’s Granulomatosis) Accompanied by Dysuria

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...

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Bibliographic Details
Main Authors: Hisashi Takeuchi, Isao Kuroda, Issei Takizawa, Teiichiro Aoyagi, Masaaki Tachibana
Format: Article
Language:English
Published: Hindawi Limited 2016-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2016/7812875
Description
Summary: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.
ISSN:2090-696X
2090-6978