Allergic conjunctivitis differential diagnosis

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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	Conjunctival cultures	Itching , burning, serous or no discharge
Viral conjunctivitis	Thin, watery discharge with intensely hyperemic response	Elevated total and direct bilirubin, ALT, AST, GGT	Atretic biliary tree on liver biopsy	Ascites, splenomegaly
Fanconi Bickel syndrome	Hepatomegaly, glucose and galactose intolerance, severe growth retardation	Hyperlipidemia, tubular nephropathy	Mutation analysis of SLC2A2 gene encoding GLUT2 transporter	Genu varum, hypophosphatemic rickets, Fanconi syndrome
Glucose-6-phosphate dehydrogenase deficiency	Severe neonatal jaundice	Acute hemolytic anemia after certain infections, intake of some drugs or fava beans	Fluorescent spot test	Kernicterus , rhabdomyolysis