Acute disseminated encephalomyelitis differential diagnosis

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sujaya Chattopadhyay, M.D.[2]

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 |-}