There were no neurologic findings. He was sent to the eye clinic where a slit lamp examination revealed a white blood cell infiltrate in the anterior chamber. The retinas appeared normal. His symptoms have evolved over a subacute course. The images shown depict brown macules on the palms and soles.
Sarcoidosis can affect any organ system.
It most commonly affects the lungs, but it can cause uveitis and skin lesions which are erythematous and plaque-like with central clearing. Sarcoidosis is not described as a complication of HIV infection, though it is a relatively common disease in the general population and thus is seen concurrently with HIV disease. Chlamydia trachomatis has been implicated in the pathogenesis. There is no mention of arthritis or urethritis in this case, and the skin findings seen are not typical of Reiter's syndrome. In severe cases of zoster opthalmicus and herpes keratitis, both viruses can cause inflammation of the anterior chamber as well, but there is no indication of either one of these syndromes in the case presented.