结节病通常导致年轻人患双侧肺门淋巴腺病,肺实质疾病和/或皮肤损伤等。儿童结节病是一种相对罕见的疾病,尤其是眼和肾脏同时受累的儿童患者。我们这里呈现了一个双侧复发性前葡萄膜炎伴发肾功能衰竭的结节病的少年亚裔病情。口服类固醇与甲氨喋呤后临床症状得到明显改善。因顽固性青光眼行小梁切除术后双眼视力令人满意。因此,给予及时的诊断及迅速适当的处理能避免这类罕见疾病的眼部发病率。

Sarcoidosis typically affects young adults with bilateral hilar lympadenopathy,lung parenchymal disease and/or skin lesion. Childhood sarcoidosis is relatively a rare entity. Concurrent ocular and renal involvements are extremely uncommon especially in childhood sarcoidosis. We presented a case of an Asian teenager with bilateral recurrent anterior uveitis and features of renal failure due to childhood sarcoidosis. He showed remarkable clinical improvements after combination of oral corticosteroids and methotrexate. His final visual outcome was satisfactory following augmented trabeculectomy in both eyes due to intractable glaucoma. It is essential to make a prompt diagnosis and initiate proper management to avoid ocular mobidity in this unusual presentation.

R593.9