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      MUCOCUTANEOUS MANIFESTATIONS OF CHIKUNGUNYA FEVER

      other
      ,
      Indian Journal of Dermatology
      Medknow Publications
      Chikungunya, mucocutaneous, treatment

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          Abstract

          Chikungunya fever (CF) is an arboviral acute febrile illness transmitted by the bite of infected Aedes mosquitoes. After a quiescence of more than three decades, CF has recently re-emerged as a major public health problem of global scale. CF is characterized by an acute onset of high fever associated with a severe disabling arthritis often accompanied by prominent mucocutaneous manifestations. The disease is usually self-limiting, but the joint symptoms and some of the cutaneous features may persist after the defervescence. A wide range of mucocutaneous changes has been described to occur in association with CF during the current epidemic. Besides a morbilliform erythema, hyperpigmentation, xerosis, excoriated papules, aphthous-like ulcers, vesiculobullous and lichenoid eruptions, and exacerbation of pre-existing or quiescent dermatoses had been observed frequently. These unusual features may help in the clinical differential diagnosis of acute viral exanthems mimicking CF.

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          Most cited references14

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          An epidemic of virus disease in Southern Province, Tanganyika Territory, in 1952-53. II. General description and epidemiology.

          W LUMSDEN (1954)
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            Co-infections with Chikungunya Virus and Dengue Virus in Delhi, India

            Aedes aegypti mosquitoes are common vectors for dengue virus and chikungunya virus. In areas where both viruses cocirculate, they can be transmitted together. During a dengue outbreak in Delhi in 2006, 17 of 69 serum samples were positive for chikungunya virus by reverse transcription–PCR; 6 samples were positive for both viruses.
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              Cutaneous manifestations of chikungunya fever: observations made during a recent outbreak in south India.

              BACKGROUND; Chikungunya fever is an Aedes mosquito-borne Arbo viral illness with significant morbidity. In a recent outbreak of the disease in south India, the dermatologic manifestations of 145 patients attending a tertiary care hospital were recorded. All age groups were affected, including newborns. Some of the cutaneous features were observed during the acute stage of the illness, and others during convalescence or thereafter. Pigmentary changes were found to be the most common cutaneous finding (42%), followed by maculopapular eruption (33%) and intertriginous aphthous-like ulcers (21.37%). Lesions with significant morbidity were generalized vesiculobullous eruptions (2.75%), found only in infants, lymphedema, and intertriginous aphthous-like ulcers. Exacerbation of existing dermatoses, such as psoriasis, and unmasking of undiagnosed Hansen's disease were observed. A perivascular lymphocytic infiltrate was a consistent histopathologic finding in all types of skin lesions. All patients responded well to symptomatic, conservative treatment. The cutaneous findings hitherto not reported may be the result of the African genotype of the virus detected during this outbreak in India.
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                Author and article information

                Journal
                Indian J Dermatol
                IJD
                Indian Journal of Dermatology
                Medknow Publications (India )
                0019-5154
                1998-3611
                Jan-Mar 2010
                : 55
                : 1
                : 64-67
                Affiliations
                From the Department of Dermatology, STD, and Leprosy, R. G. Kar Medical College, Kolkata 700 004, India.
                Author notes
                Address for correspondence: Prof. D. Bandyopadhyay, Department of Dermatology, STD, and Leprosy, R. G. Kar Medical College, 1, Khudiram Bose Sarani, Kolkata - 700 004, India. E-mail: dr_ dban@ 123456yahoo.com
                Article
                IJD-55-64
                10.4103/0019-5154.60356
                2856378
                20418982
                c718837b-9d29-43a6-a4bf-a97faf55940e
                © Indian Journal of Dermatology

                This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                : August 2009
                : September 2009
                Categories
                IJD Symposium

                Dermatology
                chikungunya,mucocutaneous,treatment
                Dermatology
                chikungunya, mucocutaneous, treatment

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