title: Sarcoid Uveitis: A Look Beyond The Eyes.
abstract: 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.
  
  
  METHODS
  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.
  
  
  CONCLUSIONS
  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.
authors.affiliation: Department of Ophthalmology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
authors.forename: Daniel
authors.initials: D
authors.lastname: Lemor
authors.affiliation: Department of Ophthalmology, Louisiana State University Health Sciences Center, New Orleans, LA.
authors.forename: David B
authors.initials: DB
authors.lastname: Lazar
authors.affiliation: Department of Pulmonology and Critical Care, Ochsner Clinic Foundation, New Orleans, LA.
authors.forename: W Brooks
authors.initials: WB
authors.lastname: Emory
authors.affiliation: Department of Ophthalmology, Ochsner Clinic Foundation, New Orleans, LA ; The University of Queensland School of Medicine, Ochsner Clinical School, New Orleans, LA.
authors.forename: Jonathan D
authors.initials: JD
authors.lastname: Nussdorf
keywords: Sarcoidosis; tattooing; uveitis