Polyarteritis Nodosa with Bilateral Asynchronous Testicular Necrosis: A Case Report

Table 1

American College of Rheumatology criteria for the classification of polyarteritis nodosa.

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(i) Weight loss of greater than 4 kg

(ii) Livedo reticularis

(iii) Testicular pain or tenderness that is not due to infection, trauma or other causes

(iv) Diffuse myalgias or weakness of muscles or tenderness of leg muscles

(v) Mononeuropathy, multiple mononeuropathies, or polyneuropathy

(vi) Hypertension (with diastolic blood pressure >90 mm Hg

(vii) Elevation of BUN (>40 mg/dL) or creatinine (>1.5 mg/dL)

(viii) Arteriogram demonstrating aneurysms or occlusions of the visceral arteries not due to noninflammatory causes

(ix) Presence of HBAg or HBsAb in serum

(x) Biopsy of small-sized or medium-sized artery containing granulocytes

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