Uveitis and acute glaucoma as first presenting symptoms of sarcoidosis in a healthy male

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Sarcoidosis is a disease that causes noncaseating granulomas in tissues such as the lungs, heart, skin, and eyes. Sarcoidosis is often found through chest x-ray or lesions in the skin and eyes. In over half of patients the disease is detected incidentally by radiographic abnormalities on a routing chest x-ray prior to development of any symptoms. The disease varies in incidence among geographic regions and can also aggregate in families. It is more common in African-Americans who have a lifetime-estimated risk of 2.4 percent compared to a lifetime risk of 0.85 percent in whites. Multiple cases have been reported on sarcoidosis with eye involvement, especially uveitis. We present a healthy 36-year-old male with no past medical who initial presentation of sarcoidosis was uveitis with acute angle closure glaucoma. To our knowledge this is the first reported case of sarcoidosis with this presentation.

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