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Question

Phlyctenular conjunctivitis is associated with

The correct answer is
Tuberculosis

Phlyctenular Conjunctivitis Association

Phlyctenular conjunctivitis is an allergic-type reaction that occurs on the conjunctiva, often appearing as small, yellowish-white nodules or bumps (phlyctenules).

Key Association: This condition is primarily associated with bacterial hypersensitivity, most commonly seen in individuals with latent or active Tuberculosis.

The immune system reacts to bacterial antigens, leading to inflammation and the formation of phlyctenules. While other conditions can cause conjunctivitis, Tuberculosis is the classic association for phlyctenular presentations.

  • Tuberculosis: Primary association due to delayed hypersensitivity reaction to tuberculoprotein.
  • Syphilis: Less commonly associated with phlyctenular conjunctivitis compared to Tuberculosis.
  • Stevens Johnson syndrome: A severe mucocutaneous reaction, different presentation.
  • Leprosy: Can cause various ocular manifestations, but not the typical cause of phlyctenular conjunctivitis.

Therefore, Tuberculosis is the most recognized condition linked to phlyctenular conjunctivitis.

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Important Questions from Tuberculosis

  1. Which of the following investigations may be used for the diagnosis of pulmonary tuberculosis? 

    1. Nucleic acid amplification 

    2. Culture in Middlebrook medium 

    3. Light emitting diode fluorescent microscopy with auramine staining 

    4. Peripheral blood smear 

    Select the correct answer using the code given below:

  2. Recommended first time drug for initial treatment of tuberculosis include all EXCEPT:
  3. The most frequent adverse reaction of significance among people treated for drug-susceptible tuberculosis is:

  4. All adult patients in whom anti-tubercular treatment is being started should undergo baseline assessment of:

  5. The extrapulmonary sites most commonly involved in tuberculosis are all EXCEPT:
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