Acute Hemorrhagic Conjunctivitis Differential Diagnoses

Updated: Jan 02, 2019
  • Author: Jean Deschênes, MD, FRCSC; Chief Editor: Hampton Roy, Sr, MD  more...
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Diagnostic Considerations

While the general ophthalmologist most often encounters acute hemorrhagic conjunctivitis (AHC), one must be aware that it is caused by members of a group of viruses causing a wide variety of conditions. Enteroviruses most often cause a benign fever. However, they also can bring about manifestations of neurologic, cardiac, respiratory, and dermatologic diseases. An unusual course should elicit greater than usual attention.

Ophthalmic manifestations of ebolavirus infection have been reported in the recent epidemic. These include conjunctival injection, subconjunctival hemorrhage, and increased lacrimation. Ophthalmic providers need to be aware of this when treating patients with fever and generalized weakness who may have been in contact with infected persons. [12]

In rare cases, consultation could be indicated with a pediatrician or pediatric subspecialist.

See the following for more information:

Differential Diagnoses