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Arch Ophthalmol. 1999;117:1661.

Congratulations to our October Web quiz winner, Michael Colucciello, MD, of South Jersey Eye Physicians, Moorestown, NJ. The answer to the October quiz was nasolacrimal sarcoid; and the systemic complication was potentially fatal cardiac dysrhythmia. For a complete discussion of this case, see the Case Report and Small Case Series section in the January ARCHIVES.

View larger version (77K): [in this window] [in a new window] A diffusely elevated, erythematous lesion is located over the left lacrimal sac.

Be sure to visit the Archives of Ophthalmology World Wide Web site (http://www.archophthalmol.com) and try your hand at our new Clinical Challenge interactive quiz. We invite visitors to make a diagnosis based on selected information from a case report or other feature scheduled to be published in the following month's print edition of the ARCHIVES. The first visitor to e-mail our Web editors with the correct answer will be recognized in the print journal and on our Web site.