Recurrent nodular scleritis preceding an adult TINU syndrome

Purpose: To describe the occurrence of nodular scleritis in a patient developing tubulointerstitial nephritis and uveitis (TINU) syndrome. Design: Observational case report. Method: The case notes of a 57-year-old female presenting with recurrent nodular scleritis, who later developed interstitial nephritis with bilateral uveitis, were reviewed. Results: Common and established causes of scleritis were not present in an adult who developed the TINU syndrome a decade later. Conclusions: Although scleritis has not been reported as a tubulointerstitial nephritis-associated ocular inflammation, it may be part of the possible spectrum of ocular inflammation occurring as part of the TINU syndrome.