TY - JOUR T1 - Scrotal necrosis and no Fournier’s in sight: a rare case of juvenile gangrenous vasculitis JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2018-226530 VL - 12 IS - 2 SP - e226530 AU - Jeremy Nettleton AU - Hugh Crawford-Smith AU - Anthony Adimonye AU - Faith McMeekin Y1 - 2019/02/01 UR - http://casereports.bmj.com/content/12/2/e226530.abstract N2 - 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. ER -