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


METHODS
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.


CONCLUSIONS
Although rare, scleral disease may be associated with sarcoidosis.
D000328:Adult; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D011241:Prednisone / Q000627:therapeutic use; D012507:Sarcoidosis / Q000175:diagnosis* / Q000188:drug therapy; D015422:Scleral Diseases / Q000175:diagnosis* / Q000188:drug therapy
D005938:Glucocorticoids; D011241:Prednisone