Cornea & Conjunctiva · NEET PG Preparation Ophthalmology
A 30-year-old male presents with recurrent episodes of painful red eye, decreased vision, and photophobia. Examination reveals a stromal keratitis wi…
Practice question from Cornea & Conjunctiva (NEET PG Preparation Ophthalmology), with the correct answer and a step-by-step solution.
hard · MCQ · Q-693B7C
A 30-year-old male presents with recurrent episodes of painful red eye, decreased vision, and photophobia. Examination reveals a stromal keratitis with deep vascularization, interspersed with areas of stromal thinning, and a 'salmon patch' appearance. Which of the following systemic conditions is most likely associated with this presentation?
- A.Congenital SyphilisCorrect answer
- B.Herpes Simplex Virus
- C.Rheumatoid Arthritis
- D.Wegener granulomatosis
Solution
Interstitial keratitis presenting with a salmon patch (deep stromal vascularization giving a reddish-pink hue) along with Hutchinson teeth and saddle nose is pathognomonic of congenital syphilis (Hutchinson triad includes peg-shaped incisors, interstitial keratitis, and eighth nerve deafness).
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