Which finding is NOT associated with Parinaud's Oculoglandular Syndrome?

• A. Unilateral granulomatous conjunctivitis
• B. Follicular conjunctivitis
• C. Cobblestone papillae
• D. Preauricular lymphadenopathy

Answer: (C)

Parinaud's Oculoglandular Syndrome is a granulomatous conjunctivitis linked to cat-scratch disease (Bartonella henselae) and typically presents with unilateral conjunctival inflammation plus swelling of the ipsilateral preauricular lymph nodes. The key feature is granulomatous nodules on the conjunctiva rather than the large, itchy papillae seen with allergic processes. Cobblestone papillae are characteristic of allergic conjunctivitis (such as VKC) and reflect a different inflammatory mechanism, so they do not fit Parinaud's syndrome. Therefore, cobblestone papillae are not associated with this condition.