title: Recurrent nodular scleritis preceding an adult TINU syndrome.
abstract: OBJECTIVE
  To describe the occurrence of nodular scleritis in a patient developing tubulointerstitial nephritis and uveitis (TINU) syndrome.
  
  
  METHODS
  Observational case report.
  
  
  METHODS
  The case notes of a 57-year-old female presenting with recurrent nodular scleritis, who later developed interstitial nephritis with bilateral uveitis, were reviewed.
  
  
  RESULTS
  Common and established causes of scleritis were not present in an adult who developed the TINU syndrome a decade later.
  
  
  CONCLUSIONS
  Although scleritis has not been reported as a tubulointerstitial nephritis-associated ocular inflammation, it may be part of the possible spectrum of ocular inflammation occurring as part of the TINU syndrome.
authors.affiliation: Division of Ocular Immunology, The Wilmer Eye Institute, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA. edaniel4@jhmi.edu
authors.forename: Ebenezer
authors.initials: E
authors.lastname: Daniel
authors.forename: Sapna
authors.initials: S
authors.lastname: Gangaputra
authors.forename: John H
authors.initials: JH
authors.lastname: Kempen
authors.forename: Douglas A
authors.initials: DA
authors.lastname: Jabs
mesh_terms: D000208:Acute Disease; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D007213:Indomethacin / Q000627:therapeutic use; D008875:Middle Aged; D009395:Nephritis, Interstitial / Q000175:diagnosis*; D011241:Prednisone / Q000627:therapeutic use; D012008:Recurrence; D015423:Scleritis / Q000175:diagnosis*; D013577:Syndrome; D014606:Uveitis, Anterior / Q000175:diagnosis*
chemical_list: D005938:Glucocorticoids; D011241:Prednisone; D007213:Indomethacin