Sarcoidosis is a multisystem disease with both sight and life-threatening sequelae. It can be a diagnostic challenge as there is no definitive test. The IWOS has recommended guidelines to improve diagnostic certainty to improve early detection. The authors present a case of bilateral panuveitis and biopsy proven sarcoid tattoo granuloma. The roles of a multi-disciplinary team and early introduction of steroid-sparing agents are highlighted.
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