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Ophthalmology and Visual Sciences

Sarcoidosis

Sarcoidosis

Category(ies): Uveitis
Contributor: Justin Risma, MD
Photographer: Carol Chan, CRA and Deb Kaefring

This 34-year-old African American male presented with a few months of blurry vision and photophobia. On exam, he was noted to have bilateral granulomatous anterior uveitis with large mutton-fat keratic precipitates, iris granulomas, enlarged lacrimal glands, and bilateral cervical and post-auricular lymphadenopathy. Laboratory testing revealed an angiotensin converting enzyme (ACE) level of 294 U/L (normal 8-52). He was referred to pulmonary medicine and diagnosed with sarcoidosis.

Mutton-fat keratic precipitates and iris granulomas in sarcoidosis side view
Photos 1 : Mutton-fat keratic precipitates and iris granulomas in sarcoidosis.
Mutton-fat keratic precipitates and iris granulomas in sarcoidosis straight view
Photos 2: Mutton-fat keratic precipitates and iris granulomas in sarcoidosis.
 Lacrimal gland enlargement in sarcoisosis
Photo 3: Lacrimal gland enlargement in sarcoisosis
Cervical and post-auricular lymphadenopathy in sarcoidosis - Right Side
Photos 4 and 5: Cervical and post-auricular lymphadenopathy in sarcoidosis