TY - JOUR T1 - Sarcoid Uveitis: A Look Beyond The Eyes JF - Ochsner Journal JO - Ochsner J SP - 551 LP - 553 VL - 16 IS - 4 AU - Daniel Lemor AU - David B. Lazar AU - W. Brooks Emory AU - Jonathan D. Nussdorf Y1 - 2016/12/21 UR - http://www.ochsnerjournal.org/content/16/4/551.abstract N2 - 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. ER -