Which finding is NOT typically associated with Adult Inclusion conjunctivitis?

Which finding is NOT typically associated with Adult Inclusion conjunctivitis?

• A. Inferior papillae
• B. Inferior follicles
• C. Subepithelial infiltrates
• D. Pseudomembranes

Answer: (D)

Adult inclusion conjunctivitis, caused by Chlamydia trachomatis, typically presents with a mucopurulent discharge and a follicular conjunctivitis pattern in the inferior fornix, along with a papillary reaction on the palpebral conjunctiva. The cornea can show immune-mediated subepithelial infiltrates as part of keratoconjunctivitis. Pseudomembranes, however, reflect a more destructive, fibrin-rich exudate and are not characteristic of this condition; they are more commonly seen with gonococcal conjunctivitis or severe adenoviral conjunctivitis. Therefore, the finding that is not typically associated is pseudomembranes.