Acute disseminated encephalomyelitis differential diagnosis: Difference between revisions
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==Differential Diagnosis== | ==Differential Diagnosis== | ||
|+ Differential diagnosis of [[allergic]] [[conjunctivitis]] | |||
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! Diseases !! Clinical manifestations !! Para-clinical findings !! Gold standard !! Additional findings | |||
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| [[Bacterial]] [[conjunctivitis]] ||Bilateral [[matting]] of the [[eyelids]] in the morning, [[Mucopurulent]] [[discharge]], [[conjunctival]] [[hyperemia]], no previous history of [[conjunctivitis]] ||Normal [[visual]] [[acuity]]; [[corneal]] involvement may be detected by a [[slit-lamp]] examination [[otoscopy]] may detect concurrent [[otitis]] [[media]] in children with [[ear]] [[symptoms]]||[[Conjunctival]] [[cultures]] || [[Itching]] , [[burning]], [[serous]] or no [[discharge]] | |||
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| [[Viral]] [[conjunctivitis]] || Thin, watery [[discharge]] with intensely [[hyperemic]] response || Significant only in cases of suspected [[chlamydia]] or [[gonorrhoea]], [[immunocompromise]] or excess [[ocular]] [[discharge]] || [[Viral]] [[cell]] [[cultures]], [[PCR]] for [[viral]] [[DNA]] detection|| [[Fever]], [[malaise]], [[fatigue]], [[symblepharon]], [[conjunctival]] [[follicles]] and [[papillae]] | |||
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| [[Autoimmune]] [[eye]] [[disease]] || Dry or red [[eyes]], [[foreign-body]] sensation, [[pruritus]], [[photophobia]] || Abnormal [[Schirmer's]] test, deranged [[visual]] [[acuity]], [[proptosis]], [[exposure keratitis]]|| [[Autoimmune]] panel of [[blood]] || [[Pain]], [[visual]] changes, complete loss of [[vision]] | |||
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| [[Acne]] [[rosacea]] ||Minor irritation, gritty sensation, dryness, blurry vision, [[blepharitis]] and [[conjunctivitis]] ||Magnifying glass or a [[microscopic]] slide for [[blanching]] [[skin]], [[dermatoscopy]] for [[skin]] [[telangiectasia]] || [[Skin]] [[biopsy]] ||[[Lid]] margin and [[conjunctival]] [[telangiectasias]], [[eyelid]] thickening, [[eyelid]] crusts and scales, [[chalazion]], [[hordeolum]], punctate [[epithelial]] erosions, [[corneal]] infiltrates, [[corneal]] [[ulcers]], [[corneal]] scars, and [[vascularization]] | |||
|-} | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
Revision as of 07:02, 10 November 2022
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sujaya Chattopadhyay, M.D.[2]
Overview
Differential Diagnosis
|+ Differential diagnosis of allergic conjunctivitis |- ! Diseases !! Clinical manifestations !! Para-clinical findings !! Gold standard !! Additional findings |- | Bacterial conjunctivitis ||Bilateral matting of the eyelids in the morning, Mucopurulent discharge, conjunctival hyperemia, no previous history of conjunctivitis ||Normal visual acuity; corneal involvement may be detected by a slit-lamp examination otoscopy may detect concurrent otitis media in children with ear symptoms||Conjunctival cultures || Itching , burning, serous or no discharge |- | Viral conjunctivitis || Thin, watery discharge with intensely hyperemic response || Significant only in cases of suspected chlamydia or gonorrhoea, immunocompromise or excess ocular discharge || Viral cell cultures, PCR for viral DNA detection|| Fever, malaise, fatigue, symblepharon, conjunctival follicles and papillae |- | Autoimmune eye disease || Dry or red eyes, foreign-body sensation, pruritus, photophobia || Abnormal Schirmer's test, deranged visual acuity, proptosis, exposure keratitis|| Autoimmune panel of blood || Pain, visual changes, complete loss of vision |- | Acne rosacea ||Minor irritation, gritty sensation, dryness, blurry vision, blepharitis and conjunctivitis ||Magnifying glass or a microscopic slide for blanching skin, dermatoscopy for skin telangiectasia || Skin biopsy ||Lid margin and conjunctival telangiectasias, eyelid thickening, eyelid crusts and scales, chalazion, hordeolum, punctate epithelial erosions, corneal infiltrates, corneal ulcers, corneal scars, and vascularization |-}