Dermatology · Dermatological Emergencies (SJS/TEN, DRESS, Erythroderma, Acute Pemphigus)

In Stevens-Johnson syndrome, the mucosal involvement is a defining feature. The conjunctival complication most feared for long-term visual morbidity is:

  • A Symblepharon and cicatricial conjunctivitis
  • B Episcleritis
  • C Corneal arcus
  • D Central serous retinopathy
Correct answer: A. Symblepharon and cicatricial conjunctivitis

Explanation

Symblepharon (adhesion between bulbar and palpebral conjunctiva) and cicatricial conjunctivitis are the major chronic ocular sequelae of SJS. The acute phase involves pseudomembrane formation; without aggressive eye care (lubricants, topical steroids, sweeping of fornices) symblepharon develops and may lead to corneal scarring and blindness. Episcleritis is not a feature; corneal arcus is age-related; central serous retinopathy is steroid-related.

Reference: Neena Khanna Illustrated Synopsis of Dermatology & STD, 6th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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