case_images: PMC7158930_01
case_images: Anterior segment examination shows mutton fat keratic precipitates in the right eye
case_images: TJO-10-66-g001.jpg
case_images: PMC7158930_01_TJO-10-66-g001.jpg
case_images: F1
case_images: Slit-lamp examination of the right eye showed medium granulomatous keratic precipitates in the Arlt's triangle, 3+ cells in the anterior chamber [Figure 1], and 2+ cells in the anterior vitreous.
case_images: Fundus examination reveals a few snowball opacities in the inferior quadrant of the right eye (arrowhead)
case_images: TJO-10-66-g002.jpg
case_images: PMC7158930_01_TJO-10-66-g002.jpg
case_images: F2
case_images: Dilated fundus examination revealed 1+ vitreous haze in both eyes and a few snowball opacities, which were distributed in the inferior quadrant in the right eye [Figure 2].
case_images: Renal biopsy reveals widespread interstitial inflammation with tubulitis (arrows demonstrate lymphocytes). Glomerulus is unremarkable (H and E, x200; inset: H and E, x400)
case_images: TJO-10-66-g003.jpg
case_images: PMC7158930_01_TJO-10-66-g003.jpg
case_images: F3
case_images: The biopsy specimen showed diffuse interstitial inflammatory infiltrate with tubulitis, consistent with acute TIN [Figure 3].
case_images: In the biopsy specimen, CD4-positive T lymphocytes constitute the majority of infiltrating cells (immunohistochemistry, anti-CD4 Ab x200)
case_images: TJO-10-66-g004.jpg
case_images: PMC7158930_01_TJO-10-66-g004.jpg
case_images: F4
case_images: Majority of inflammatory cells were CD4-positive T lymphocytes (T helper cells), although accompanying CD8 (+) T-cells, plasmacytes, and scattered eosinophils were also present [Figure 4].