A 27-year-old man presented to the urologic service with a 2-week history of a painful scrotum, spiking pyrexia, general malaise, arthritis, and a rash. On examination, he had a tender, swollen scrotum. He also had a florid, tender, erythematous, nodular rash, especially on his buttocks and legs, as well as on his back and arms (Figure 1). There was no evidence of lymphadenopathy or visceromegaly. The patient was born in India and has been a resident of England for 2 years. There was no known exposure to tuberculosis.
Ling TC, Prescott RJ, Daly M. Painful Skin Nodules and Epididymo-orchitis. Arch Dermatol. 2002;138(12):1607. doi:10.1001/archderm.138.12.1607