PROSTATITIS AS AN INITIAL PRESENTATION FOR GRANULOMATOSIS WITH POLYANGIITIS

Authors

  • Nauman Ismat Butt Azra Naheed Medical College, Lahore Pakistan
  • Raheel Yonus National Hospital and Medical Center, Lahore Pakistan
  • Muhammad Qasim Khan Tareen Sandeman Provinical Hospital, Bolan University of Medical and Health Sciences, Quetta Pakistan
  • Sumaira Farman National Hospital and Medical Center, Lahore Pakistan
  • Nighat Mir Ahmad National Hospital and Medical Center, Lahore Pakistan
  • Amna Ahmad National Hospital and Medical Center, Lahore Pakistan

DOI:

https://doi.org/10.55519/JAMC-04-S4-10658

Keywords:

Granulomatosis with Polyangiitis, Prostatitis, Vasculitis, c-ANCA

Abstract

Granulomatosis with polyangiitis (GPA) is an uncommon pauci-immune small-vessel necrotising granulomatous vasculitis mostly seen in age 45–60 years. We present the case of a formerly healthy 44 years old male presenting with dysuria and intermittent urinary retention for 8 months, not responding to empirical antibiotic therapy and TURP. A prostate biopsy showed necrotising granulomatous prostatitis. Urinalysis demonstrated persistent pyuria and haematuria, but cultures showed no growth. Subsequently he complained of fever, cough, dyspnoea and skin ulcers. CT of the chest showed multiple cavitatory lesions and pleural effusion. On work up, c-ANCA was positive and a diagnosis of granulomatosis with polyangiitis was established. This depicts a rarely seen presentation of prostatitis as the initial feature of GPA.

Author Biographies

Nauman Ismat Butt, Azra Naheed Medical College, Lahore Pakistan

Assistant Professor, Department of Medicine

Raheel Yonus, National Hospital and Medical Center, Lahore Pakistan

Rheumatology Fellow, Department of Rheumatology

Muhammad Qasim Khan Tareen, Sandeman Provinical Hospital, Bolan University of Medical and Health Sciences, Quetta Pakistan

Senior Registrar, Department of Medicine

Sumaira Farman, National Hospital and Medical Center, Lahore Pakistan

Professor and Head, Department of Rheumatology

Nighat Mir Ahmad, National Hospital and Medical Center, Lahore Pakistan

Professor and Chair, Department of Rheumatology

Amna Ahmad, National Hospital and Medical Center, Lahore Pakistan

Senior Registrar, Department of Rheumatology

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Published

2022-10-11