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Rationale:
- Sexually transmitted diseases such as gonorrhea, chlamydia, syphilis, and AIDS can all present with conjunctivitis, and early
recognition is essential to commence systemic therapy.
- Herpes zoster and simplex can be associated with serious sight-threatening complications, and appropriate therapy needs to
be instituted.
- Episcleritis and scleritis can be associated with underlying collagen, vascular, or other autoimmune diseases.
- Stevens-Johnson syndrome and ocular cicatricial pemphigoid can threaten sight and need expert care from an ophthalmologist.
- Contact lens-related inflammation may be a sign of contact-lens associated keratitis.
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Evidence:
- These principles are documented in 3, 29, and 30.
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Comments:
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Robert Sambursky, MD, editorial consultant, Chief Medical Officer for Rapid Pathogen Screening, Inc.;served as consultant for Rapid Pathogen Screening, Inc.;received
an honoraria for Rapid Pathogen Screening, Inc.;serves as consultant for Rapid Pathogen Screening, Inc; owns stock options
in Rapid Pathogen Screening, Inc.;served as board member or director for Rapid Pathogen Screening, Inc.;received grants and
has grants pending from Rapid Pathogen Screening, Inc.;and has received patents and has patents pending for Rapid Pathogen
Screening, Inc. Stephen Orlin, MD has no financial relationships with pharmaceutical companies, biomedical device manufacturers, or health-care related organizations.
Steven E. Weinberger, MD, FACP, Acting Editor, PIER, has stock holdings in Glaxosmithkline and Abbott.
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PIER is copyrighted (c) 2009 by the American College of Physicians,
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Acute Viral Conjunctivitis
> Consultation for Diagnosis
