Relapsing anterior nodular sclerokeratitis as the initial presentation of a latent tuberculosis: a case report

Scleritis is a painful inflammatory process of the sclera that may involve the adjacent ocular structures specially the cornea and the uvea. The etiologies are dominated by autoimmune diseases but in some cases, scleritis can be associated with systemic infection such as tuberculosis. Here we present the challenging case of a Tunisian patient who had a long history of unilateral recurrent sclerokeratitis without systemic symptoms. The patient was diagnosed with presumed ocular tuberculosis (TB) and responded to antitubercular therapy (ATT) administrated after exclusion of other aetiologies.