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A four-year-old girl had atypical skin lesions, anterior uveitis, secondary glaucoma, hepatosplenomegaly, hypercalcemia, and an increased level of angiotensin-converting enzyme. Histopathological analysis of the skin lesions revealed a noncaseating granuloma with necrosis consistent with sarcoidosis. The patient was successfully treated with topical and systemic steroids. Pediatric sarcoidosis with ocular manifestations is rare, but when it occurs, systemic and topical steroid therapy leads to dramatic clinical improvement.
Dr. M.S. Kook, Department of Ophthalmology, Asan Medical Center, Ulsan University, 388-1, Poongnap-dong Songpa-ku, Seoul 138-736, South Korea
9.4.6 Glaucomas associated with inflammation, uveitis (Part of: 9 Clinical forms of glaucomas > 9.4 Glaucomas associated with other ocular and systemic disorders)