Purpose: To report a rare case of isolated ocular sarcoidosis in an HIV positive patient.
Design: Case report.
Methods: A 47-year-old HIV+ Caucasian male was referred for chronic bilateral follicular conjunctivitis.
Results: A conjunctival biopsy that was performed on the right eye showed sarcoidosis. General medical evaluation including a spiral thin cut chest CT scan revealed no systemic involvement. The ocular signs and symptoms resolved completely with topical corticosteroid treatment.
Conclusions: HIV infection and sarcoidosis rarely coexist, presumably because their immunopathogenesis mechanisms diverge. In the absence of systemic involvement, a definite diagnosis can only be made by biopsy of the ocular tissues.
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