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Am J Ophthalmol. 2003 Oct;136(4):752-4.

Scleral nodule associated with sarcoidosis.

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1
Department of Ophthalmology, The Johns Hopkins University School of Medicine, Baltimore, Maryland, USA.

Abstract

PURPOSE:

To describe an unusual case of an inflammatory scleral nodule associated with systemic sarcoidosis.

DESIGN:

Observational case report.

METHODS:

A patient presented with a red, painful, elevated scleral nodule on the left eye that was unresponsive to nonsteroidal anti-inflammatory drugs and topical corticosteroids.

RESULTS:

Laboratory evaluation was normal with the exception of elevated liver function tests. Further evaluation by a gastroenterologist revealed a granulomatous hepatitis secondary to sarcoidosis, which was confirmed by liver biopsy. Treatment with oral prednisone resulted in resolution of the hepatitis and scleral nodule. The patient has been recurrence-free over 7 months of follow-up.

CONCLUSION:

Although rare, scleral disease may be associated with sarcoidosis.

PMID:
14516826
[Indexed for MEDLINE]
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