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2006 Series : September 19, 2006
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A 10-year-old boy presented with a recurrent bilateral conjunctivitis. He also has history of allergic rhinitis and skin eczema.

1.  What is correct about pathophysiology of giant papillary conjunctivitis (GPC)?   
 

a. lower amount of eosinophils in conjunctiva
b. related with type 2 hypersensitivity
c. soft contact lens wearing cause more reaction than rigid gas permeable (RGP) contact lens
d.  may related with atopic disease

2.  What is the most likely diagnosis?  
 

a. seasonal allergic conjunctivitis
b. vernal conjunctivitis
c. atopic conjunctivitis
d.  contact lens related conjunctivitis

3.  What is correct for the treatment? 
 
a. topical steroid is more effective than topical antihistamine in an acute stage
b. long term use of topical antihistamine is prohibited
c. systemic antihistamine has no role
d.  artificial tear may prolong the disease progression

For answers to the above, click here on or after September 26, 2006.