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Correspondence to Professor Hiroshi Ishii; [email protected]
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A 35-year-old Japanese man was admitted to the Department of Ophthalmology with a 4-month history of abnormal vision and was diagnosed with uveitis. The patient had acquired a tattoo on the bilateral shoulders 6 months before the onset of the eye symptoms. He did not have any significant medical or family history, including sarcoidosis. The ophthalmologist suspected sarcoidosis from the findings of uveitis and consulted with the Department of Respiratory Medicine. His serumACE (23.9 U/L, upper limit of normal; 21.4 U/L) and soluble interleukin-2 receptor (1410 U/mL, upper limit of normal; 474 U/mL) levels were elevated. Thoracic CT revealed no hilar or mediastinal lymphadenopathy; however, numerous tiny perilymphatic nodules were observed in the lungs that were consistent with the findings of pulmonary sarcoidosis. In addition, the patient noticed nodular lesions within the tattoo (figure 1) around the same time as the manifestation of eye symptoms....