Which finding is NOT typically associated with Adult Inclusion conjunctivitis?

Which finding is NOT typically associated with Adult Inclusion conjunctivitis?

• A. Inferior papillae
• B. Inferior follicles
• C. Subepithelial infiltrates
• D. Pseudomembranes

Answer: (D)

Adult inclusion conjunctivitis, caused by Chlamydia trachomatis, typically presents with a mucopurulent discharge and a follicular conjunctivitis pattern in the inferior fornix, along with a papillary reaction on the palpebral conjunctiva. The cornea can show immune-mediated subepithelial infiltrates as part of keratoconjunctivitis. Pseudomembranes, however, reflect a more destructive, fibrin-rich exudate and are not characteristic of this condition; they are more commonly seen with gonococcal conjunctivitis or severe adenoviral conjunctivitis. Therefore, the finding that is not typically associated is pseudomembranes.

Adult inclusion conjunctivitis, caused by Chlamydia trachomatis, typically presents with a mucopurulent discharge and a follicular conjunctivitis pattern in the inferior fornix, along with a papillary reaction on the palpebral conjunctiva. The cornea can show immune-mediated subepithelial infiltrates as part of keratoconjunctivitis. Pseudomembranes, however, reflect a more destructive, fibrin-rich exudate and are not characteristic of this condition; they are more commonly seen with gonococcal conjunctivitis or severe adenoviral conjunctivitis. Therefore, the finding that is not typically associated is pseudomembranes.