PT  - JOURNAL ARTICLE
AU  - Jeremy Nettleton
AU  - Hugh Crawford-Smith
AU  - Anthony Adimonye
AU  - Faith McMeekin
TI  - Scrotal necrosis and no Fournier’s in sight: a rare case of juvenile gangrenous vasculitis
AID  - 10.1136/bcr-2018-226530
DP  - 2019 Feb 01
TA  - BMJ Case Reports
PG  - e226530
VI  - 12
IP  - 2
4099  - http://casereports.bmj.com/content/12/2/e226530.short
4100  - http://casereports.bmj.com/content/12/2/e226530.full
SO  - BMJ Case Reports2019 Feb 01; 12
AB  - Juvenile gangrenous vasculitis of the scrotum is a rare entity, of which to our knowledge we describe the first documented case in the UK. It follows a typical disease course, demonstrated by an 18-year-old male who presented with three necrotic scrotal lesions; proceeded by 3 days of fever, pharyngitis and lethargy. Previous cases have been managed successfully with systemic steroids. On this occasion, surgical debridement was made of the necrotic areas under antibiotic cover and complete resolution was achieved with excellent wound healing and no evidence of recurrence. This case report discusses the importance of disease recognition and the merits of surgical management. We also add to the debate as to whether this disease is a variation of pyoderma gangrenosum or a distinct entity itself within the pantheon of scrotal gangrene.