PT  - JOURNAL ARTICLE
AU  - Lemor, Daniel
AU  - Lazar, David B.
AU  - Emory, W. Brooks
AU  - Nussdorf, Jonathan D.
TI  - Sarcoid Uveitis: A Look Beyond The Eyes
DP  - 2016 Dec 21
TA  - Ochsner Journal
PG  - 551--553
VI  - 16
IP  - 4
4099  - http://www.ochsnerjournal.org/content/16/4/551.short
4100  - http://www.ochsnerjournal.org/content/16/4/551.full
SO  - Ochsner J2016 Dec 21; 16
AB  - Background: Bilateral acute uveitis can cause significant morbidity, and a complete workup is often warranted. This report illustrates a case of sarcoid uveitis definitively diagnosed by skin biopsy in a patient with red tattoo ink.Case Report: A 40-year-old African American male presented with bilateral photophobia and intraocular pressures of 26 mmHg in both eyes, 1+ grade cell and flare in both eyes, and granulomatous (mutton fat) keratic precipitates in both eyes. Serum angiotensin-converting enzyme level was elevated at 146 U/mL (normal value <40 U/mL), and computed tomography imaging revealed mediastinal and hilar lymphadenopathy. Multifocal induration and elevation in the areas of red pigment of a tattoo were also present and on punch biopsy revealed noncaseating granulomas, confirming the diagnosis of sarcoid uveitis.Conclusion: Our case suggests that a complete physical examination and inquiry about the presence of any tattoos should be conducted as part of the workup of uveitis.