Allergic conjunctivitis differential diagnosis: Difference between revisions
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| [[Autoimmune]] [[eye]] [[disease]] || Dry or red [[eyes]], [[foreign-body]] sensation, [[pruritus]], [[photophobia]]<ref name="pmid12358224">{{cite journal| author=Patel SJ, Lundy DC| title=Ocular manifestations of autoimmune disease. | journal=Am Fam Physician | year= 2002 | volume= 66 | issue= 6 | pages= 991-8 | pmid=12358224 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12358224 }} </ref> || Abnormal [[Schirmer's]] test, deranged [[visual]] [[acuity]], [[proptosis]], [[exposure keratitis]]<ref name="pmid12358224">{{cite journal| author=Patel SJ, Lundy DC| title=Ocular manifestations of autoimmune disease. | journal=Am Fam Physician | year= 2002 | volume= 66 | issue= 6 | pages= 991-8 | pmid=12358224 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12358224 }} </ref> || [[Autoimmune]] panel of [[blood]] || [[Pain]], [[visual]] changes, complete loss of [[vision]]<ref name="pmid12358224">{{cite journal| author=Patel SJ, Lundy DC| title=Ocular manifestations of autoimmune disease. | journal=Am Fam Physician | year= 2002 | volume= 66 | issue= 6 | pages= 991-8 | pmid=12358224 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12358224 }} </ref> | | [[Autoimmune]] [[eye]] [[disease]] || Dry or red [[eyes]], [[foreign-body]] sensation, [[pruritus]], [[photophobia]]<ref name="pmid12358224">{{cite journal| author=Patel SJ, Lundy DC| title=Ocular manifestations of autoimmune disease. | journal=Am Fam Physician | year= 2002 | volume= 66 | issue= 6 | pages= 991-8 | pmid=12358224 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12358224 }} </ref> || Abnormal [[Schirmer's]] test, deranged [[visual]] [[acuity]], [[proptosis]], [[exposure keratitis]]<ref name="pmid12358224">{{cite journal| author=Patel SJ, Lundy DC| title=Ocular manifestations of autoimmune disease. | journal=Am Fam Physician | year= 2002 | volume= 66 | issue= 6 | pages= 991-8 | pmid=12358224 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12358224 }} </ref> || [[Autoimmune]] panel of [[blood]] || [[Pain]], [[visual]] changes, complete loss of [[vision]]<ref name="pmid12358224">{{cite journal| author=Patel SJ, Lundy DC| title=Ocular manifestations of autoimmune disease. | journal=Am Fam Physician | year= 2002 | volume= 66 | issue= 6 | pages= 991-8 | pmid=12358224 | doi= | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12358224 }} </ref> | ||
|- | |- | ||
| [[Acne]] [[rosacea]] ||Minor irritation, gritty sensation, dryness, blurry vision, [[blepharitis]] and [[conjunctivitis]] ||------------x----------- ||-------------x----------- ||[[Lid]] margin and [[conjunctival]] [[telangiectasias]], [[eyelid]] thickening, [[eyelid]] crusts and scales, [[chalazion]], [[hordeolum]], punctate [[epithelial]] erosions, [[corneal]] infiltrates, [[corneal]] [[ulcers]], [[corneal]] scars, and [[vascularization]] | | [[Acne]] [[rosacea]]<ref name="pmid12658088">{{cite journal| author=Ghanem VC, Mehra N, Wong S, Mannis MJ| title=The prevalence of ocular signs in acne rosacea: comparing patients from ophthalmology and dermatology clinics. | journal=Cornea | year= 2003 | volume= 22 | issue= 3 | pages= 230-3 | pmid=12658088 | doi=10.1097/00003226-200304000-00009 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=12658088 }} </ref> <ref name="pmid34727263">{{cite journal| author=Ozturk T, Kayabasi M, Ozbagcivan O, Ayhan Z, Utine CA| title=Common ocular findings in patients with acne rosacea. | journal=Int Ophthalmol | year= 2022 | volume= 42 | issue= 4 | pages= 1077-1084 | pmid=34727263 | doi=10.1007/s10792-021-02093-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=34727263 }} </ref> ||Minor irritation, gritty sensation, dryness, blurry vision, [[blepharitis]] and [[conjunctivitis]] ||------------x----------- ||-------------x----------- ||[[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 18:22, 8 September 2022
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Overview
The differential diagnoses of allergic conjunctivitis include:
Differentiation from other diseases
References
- ↑ 1.0 1.1 Rietveld RP, ter Riet G, Bindels PJ, Sloos JH, van Weert HC (2004). "Predicting bacterial cause in infectious conjunctivitis: cohort study on informativeness of combinations of signs and symptoms". BMJ. 329 (7459): 206–10. doi:10.1136/bmj.38128.631319.AE. PMC 487734. PMID 15201195.
- ↑ Azari AA, Barney NP (2013). "Conjunctivitis: a systematic review of diagnosis and treatment". JAMA. 310 (16): 1721–9. doi:10.1001/jama.2013.280318. PMC 4049531. PMID 24150468.
- ↑ Mahmood AR, Narang AT (2008). "Diagnosis and management of the acute red eye". Emerg Med Clin North Am. 26 (1): 35–55, vi. doi:10.1016/j.emc.2007.10.002. PMID 18249256.
- ↑ Elnifro EM, Cooper RJ, Klapper PE, Yeo AC, Tullo AB (2000). "Multiplex polymerase chain reaction for diagnosis of viral and chlamydial keratoconjunctivitis". Invest Ophthalmol Vis Sci. 41 (7): 1818–22. PMID 10845603.
- ↑ 5.0 5.1 5.2 Patel SJ, Lundy DC (2002). "Ocular manifestations of autoimmune disease". Am Fam Physician. 66 (6): 991–8. PMID 12358224.
- ↑ Ghanem VC, Mehra N, Wong S, Mannis MJ (2003). "The prevalence of ocular signs in acne rosacea: comparing patients from ophthalmology and dermatology clinics". Cornea. 22 (3): 230–3. doi:10.1097/00003226-200304000-00009. PMID 12658088.
- ↑ Ozturk T, Kayabasi M, Ozbagcivan O, Ayhan Z, Utine CA (2022). "Common ocular findings in patients with acne rosacea". Int Ophthalmol. 42 (4): 1077–1084. doi:10.1007/s10792-021-02093-5. PMID 34727263 Check
|pmid=
value (help).
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[1] | -------------x----------- | Conjunctival cultures | Itching , burning, serous or no discharge[1] |
Viral conjunctivitis | Thin, watery discharge with intensely hyperemic response[2], periauricular lymphadenopathy[3] | --------------x---------- | Viral cell cultures, PCR for viral DNA detection[4] | ----------x---------- |
Autoimmune eye disease | Dry or red eyes, foreign-body sensation, pruritus, photophobia[5] | Abnormal Schirmer's test, deranged visual acuity, proptosis, exposure keratitis[5] | Autoimmune panel of blood | Pain, visual changes, complete loss of vision[5] |
Acne rosacea[6] [7] | Minor irritation, gritty sensation, dryness, blurry vision, blepharitis and conjunctivitis | ------------x----------- | -------------x----------- | Lid margin and conjunctival telangiectasias, eyelid thickening, eyelid crusts and scales, chalazion, hordeolum, punctate epithelial erosions, corneal infiltrates, corneal ulcers, corneal scars, and vascularization |