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Bazzi N, Salloum A, Chebl JA, Hreibe W, Bazzi M, Fiani E, Benedetto A, Moussa M. Juvenile gangrenous vasculitis of the scrotum: systematic review. Int J Dermatol 2022; 61:1364-1371. [PMID: 35323998 DOI: 10.1111/ijd.16066] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/08/2021] [Revised: 11/21/2021] [Accepted: 12/30/2021] [Indexed: 11/29/2022]
Abstract
Juvenile gangrenous vasculitis of the scrotum (JGVS) is a rare entity with scant reports in the literature. The disease course, treatment, and prevalence have not been well described in the literature. It's hypothesized that JGVS is a variant of pyoderma gangrenosum or a male counterpart of Lipschütz ulcer. This review will analyze the current literature on JGVS and provide a current guide based on the best available data. The initial search of databases yielded 107 studies of which 14 pertained to the topic. The majority of the included studies were case reports (n = 9) reported in Spain. A total of 17 patients were included in the study. The mean age of patients was 22.45 years (range, 13-35 years). The majority of patients presented with multiple, acute, painful, well-circumscribed, round scrotal ulcerations. The majority of patients presented with flu-like symptoms. An increased level of awareness of JGVS diagnosis is now warranted among physicians. Despite the analogies with Lipschütz ulcer, we believe that JGVS is a distinct entity.
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Affiliation(s)
- Nagham Bazzi
- Faculty of Medicine, Lebanese University, Beirut, Lebanon
| | - Antoine Salloum
- Dermatologic SurgiCenter, Philadelphia, PA, USA.,Roger Williams Medical Center, Providence, RI, USA
| | - Joanna Abi Chebl
- Saint George Hospital University Medical Center, Beirut, Lebanon.,Faculty of Medicine, University of Balamand, Beirut, Lebanon
| | - Walid Hreibe
- Faculty of Medicine, Plastic Surgery Department, Lebanese University, Beirut, Lebanon
| | - Mariam Bazzi
- Faculty of Public health, Saint Joseph University, Beirut, Lebanon
| | - Elias Fiani
- Saint George Hospital University Medical Center, Beirut, Lebanon.,Faculty of Medicine, University of Balamand, Beirut, Lebanon
| | - Anthony Benedetto
- Dermatologic SurgiCenter, Philadelphia, PA, USA.,Perelman School of Medicine, University of Pennsylvania, Pennsylvania, PA, USA
| | - Mohamad Moussa
- Urology Department, Al Zahraa Hospital University Medical Center, Jnah, Lebanon.,Urology Department, Lebanese University, Beirut, Lebanon
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