Which type is the only Adenoviral Conjunctivitis that presents with (+) Preauricular lymphadenopathy?

Which type is the only Adenoviral Conjunctivitis that presents with (+) Preauricular lymphadenopathy?

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

Answer: (A)

Preauricular lymphadenopathy signals a robust regional immune response to an adenoviral infection of the conjunctiva, and it is most strongly associated with epidemic keratoconjunctivitis. EKC tends to be the more severe adenoviral conjunctivitis, showing marked follicular conjunctivitis, tearing, sometimes pseudomembranes, and can involve the cornea with subepithelial infiltrates. The swollen preauricular nodes are a common, characteristic finding in this type and help distinguish it from other viral conjunctivitides. Pharyngoconjunctival fever can accompany fever and throat symptoms but does not typically feature prominent preauricular lymphadenopathy. Non-specific viral conjunctivitis is usually milder with little or no preauricular node involvement. Gonococcal conjunctivitis is a hyperacute bacterial process with copious purulent discharge and rapid progression, not defined by preauricular node enlargement.

Preauricular lymphadenopathy signals a robust regional immune response to an adenoviral infection of the conjunctiva, and it is most strongly associated with epidemic keratoconjunctivitis. EKC tends to be the more severe adenoviral conjunctivitis, showing marked follicular conjunctivitis, tearing, sometimes pseudomembranes, and can involve the cornea with subepithelial infiltrates. The swollen preauricular nodes are a common, characteristic finding in this type and help distinguish it from other viral conjunctivitides. Pharyngoconjunctival fever can accompany fever and throat symptoms but does not typically feature prominent preauricular lymphadenopathy. Non-specific viral conjunctivitis is usually milder with little or no preauricular node involvement. Gonococcal conjunctivitis is a hyperacute bacterial process with copious purulent discharge and rapid progression, not defined by preauricular node enlargement.