Virginia Commonwealth University, Richmond, VA 23298, USAUnited States
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A 17-year-old healthy male presented to the emergency room with painful black ulcers on his scrotum that developed acutely over 24-hours. Other symptoms included fatigue, nausea, and vomiting. He had a mild leukocytosis, but was afebrile.
INTERNAL MEDICINE ISSN 2572-9233 Open Journal Cameron S. Nichols, MD*; Fnu Nutan, MD Virginia Commonwealth University, Richmond, VA 23298, USA *Corresponding author Cameron S. Nichols, MD Virginia Commonwealth University, Richmond, VA 23298, USA; T el. (804) 828-9361; Fax. (804) 828-9596; E-mail: Cameron.nichols@vcuhealth.org Juvenile Gangrenous Vasculitis of the Scrotum Case Illustration Cite this article Nichols CS, Nutan F . Juvenile gangrenous vasculitis of the scrotum. Intern Med Open J. 2021; 5(1): 5. doi: 10.17140/IMOJ-5-116 Article information Received: June 10th, 2021; Revised: August 23rd, 2021; Accepted: August 25th, 2021; Published: September 4th, 2021 Case Illustration | Volume 5 | Number 1| 5 Copyright 2021 by Nichols CS. This is an open-access article distributed under Creative Commons Attribution 4.0 International License (CC BY 4.0), which allows to copy, redistribute, remix, transform, and reproduce in any medium or format, even commercially, provided the original work is properly cited. cc A 17-year-old healthy male presented to the emergency room with painful black ulcers on his scrotum that developed acutely over 24-hours. Other symptoms included fatigue, nausea, and vomiting. He had a mild leukocytosis, but was afebrile. He continued to develop new lesions despite initiation of antibiot- ics at presentation. Workup was negative for herpes simplex virus (HSV), epstein-barr virus (EBV), human immunodeficiency virus (HIV), and Syphilis. A workup was initiated to rule out underlying vasculitis or vasculopathy , this was also negative. A shave-biopsy of an ulcer edge demonstrated an area of dermal necrosis associ- ated with dense neutrophilic inflammation, hemorrhage, and in- travascular thrombosis. A diagnosis of Juvenile Gangrenous Vas- culitis of the Scrotum (JGVS) was made. He was treated with oral prednisone and immediately stopped developing new ulcers and showed complete resolution after 6 weeks of therapy (Figure 1).
CONSENT The authors have received written informed consent from the patient.
CONFLICTS OF INTEREST The authors declare that they have no conflicts of interest.
Figure 1. Black Ulcers on Scrotum Submit your article to this journal | https://openventio.org/submit-manuscript/