Which type classically presents with follicles, fever, and pharyngitis?

• A. EKC
• B. PCF
• C. Non-specific
• D. Herpetic conjunctivitis

Answer: (B)

Fever with pharyngitis plus follicles on the conjunctiva is the classic picture of pharyngoconjunctival fever, an adenoviral conjunctivitis. The follicles reflect the lymphoid response in the conjunctiva, and the systemic symptoms come from the respiratory tract involvement seen with this adenovirus infection. This triad helps distinguish it from other conjunctivitides: epidemic keratoconjunctivitis tends to have more pronounced keratitis with subepithelial infiltrates and fewer systemic symptoms; non-specific conjunctivitis usually lacks fever and throat symptoms; herpetic conjunctivitis often shows dendritic corneal ulcers and lid involvement rather than the fever and pharyngitis triad. So the presentation described aligns best with pharyngoconjunctival fever.