Question
14. A 72-year-old woman shows subepithelial conjunctival fibrosis, symblepharon, and fibrotic conjunctival bands. The most likely diagnosis is:
| A. |
ligneous conjunctivitis.
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| B. |
cicatricial pemphigoid.
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| C. |
toxic follicular conjunctivitis.
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| D. |
microbiallergic conjunctivitis.
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Show Answer
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Correct Answer � B
Explanation
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Answer: B. Cicatrical pemphigoid
Cicatrical pemphigoid is a rare systemic disorder characterized by the formation of blisters on the skin and mucous membranes. It is most commonly seen in older women. Chronic conjunctival inflammation caused subepithelial fibrosis, symblepharon, and blunting of the fornices. In the end stages, there is total loss of fornices, ankyloblepharon, and keratinization of the ocular surface.
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