Which of the following is NOT typically associated with Trachoma?

• A. Dennie's lines
• B. Arlt's lines
• C. Herbert's pits
• D. Follicular conjunctivitis

Answer: (B)

Trachoma is a chronic keratoconjunctivitis that produces specific scarring and follicular changes in the conjunctiva. Follicular conjunctivitis is a hallmark sign of active trachoma, and as the disease progresses you can see Arlt's lines, which are linear conjunctival scars on the tarsus, as well as Herbert's pits, which are shallow corneal or limbal scars resulting from the longstanding inflammation.

Dennie's lines, by contrast, are infrared signs of atopy and allergic conjunctivitis, presenting as extra folds or lines under the lower lid in allergic eyes. They are not typical features of trachoma, making them the sign not usually associated with this disease.

So the statement not typically associated with Trachoma is Dennie's lines.