Which type classically presents with follicles, fever, and pharyngitis?

Which type classically presents with follicles, fever, and pharyngitis?

• A. EKC
• B. PCF
• C. Non-specific
• D. Herpetic conjunctivitis

Answer: (B)

Follicular conjunctivitis with fever and sore throat points to pharyngoconjunctival fever caused by adenovirus. The hallmark is the triad of fever, pharyngitis, and conjunctival follicles, which is most characteristic of this condition and often seen in outbreaks among children. Epidemic keratoconjunctivitis tends to involve more corneal involvement (subepithelial infiltrates) and prominent eye surface disease, with less emphasis on fever and pharyngitis. Herpetic conjunctivitis shows dendritic ulcers on the cornea rather than the follicular conjunctivitis pattern, and non-specific conjunctivitis typically lacks the systemic symptoms.