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.