Symptoms

• Debut symptom of 5% of cases
• Symptoms vary, some have little symptoms
  • Blurred vision
  • Eye pain
    • Opticusnevritt
  • Dryness of the eyes (keratoconjunctivitis sicca)
    • Differential Diagnosis: Sjögren's syndrome

Medical Examination Findings

• Eyelid: Lupus pernio (blue-violet)
• Infiltrated lacrimal glands
• Parotitis, uveitis and fever (Heerford syndrome)
• Conjunctive sarcoid granulomas
• Uveitis
  • Previous
  • Posterior
  • Mixing Form
  • Pan-uveitis
  • Most often both eyes (bilaterally)
  • Granulomatous type is most common
    • Retinal vasculitis
    • Bleeding
    • Exudates
• Perivascular nodular granulomas ("wax drip")
• Dalen-Fuchs nodules (epithelial cells)
• Retinal and choroidal multifocal infiltrates that leave pigmented chorio-retinal scars
• Retinal and choroidal nodular granulomas
• Can affect the opticus nerve
• Granulomas on the eye background, hyperemia and edema

Literature

• Baughman RP 2010

• Sarcoidosis, BINDEVEVSSYKDOMMER.no
• Bindevevssykdommer.no
• Vaskulitt.no