What additional assessment is planned to identify systemic inflammation in granulomatous uveitis?

• A. Bloodwork
• B. Urinalysis
• C. Skin Biopsy
• D. CT Scan

Answer: (A)

When granulomatous uveitis raises concern for systemic inflammation, the initial plan is to assess inflammatory activity and look for clues of systemic disease through bloodwork. This directly tests for ongoing inflammation in the body and can reveal abnormalities such as elevated ESR or CRP, abnormal white cell counts, and disease-specific markers (like ACE or calcium in suspected sarcoidosis). Those findings help guide further workup and management.

Urinalysis might show kidney involvement or infection, but it doesn’t provide a broad view of systemic inflammation. A skin biopsy can confirm granulomatous inflammation in a lesion if present, but it doesn’t quantify systemic inflammatory activity. A CT scan gives anatomical detail and can detect organ involvement, but it isn’t a first-line measure of systemic inflammation. Bloodwork remains the most informative, practical step to identify systemic inflammation in this context.