Sarcoidosis with Retinal Pigment Epithelial and Choroidal Inflammatory Infiltrates

This 41 year old man complained of two weeks of light flashes and blurred vision in the inferior visual field of the right eye. Examination revealed visual acuity of 20/20 bilaterally with iritis, vitritis, and multifocal retinal pigment epithelial and choroidal infiltrates of the right fundus. His father had sarcoidosis, and this was the working diagnosis for this patient. Angiotensin converting enzyme and chest CT scan were ordered. VDRL, FTA-ABS, PPD skin test, Candida control skin test, and Quantiferon titer for TB were obtained to investigate the suspected diagnosis and rule out infectious etiologies that sould present in this fashion. Lab results are currently pending.