Sarcoidosis commonly presents in young adults with bilateral hilar lym
phadenopathy, lung parenchymal disease and/or skin lesions, Ocular sym
ptoms are the presenting feature in up to 10% of cases(1), but eye inv
olvement can be demonstrated in around a quarter of ail patients(2). R
enal disease is much rarer, and may manifest with hypercalcaemic nephr
opathy, granulomatous interstitial nephritis, tubular dysfunction or g
lomerulonephritis. Eye and renal involvement are rarely found together
, and may be confused with Wegener's granulomatosis or polyarteritis.
We report a case of a young man who developed renal failure due to sar
coidosis soon after presenting with uveitis, The case illustrates an u
nusual combination of systemic features that may not be widely recogni
zed(3).