Chikungunya physical examination: Difference between revisions
Jump to navigation
Jump to search
Gerald Chi (talk | contribs) mNo edit summary |
m Changes made per Mahshid's request |
||
| (4 intermediate revisions by 3 users not shown) | |||
| Line 2: | Line 2: | ||
{{Chikungunya}} | {{Chikungunya}} | ||
{{CMG}}; {{AE}} {{AL}}, {{Alonso}} | {{CMG}}; {{AE}} {{AL}}, {{Alonso}} | ||
==Overview== | |||
Chikungunya usually presents with clinical signs such as [[fever]], [[Maculopapular|skin rashes]], and joint swelling with effusions that can be detected during a physical examination. | |||
==Physical Examination== | ==Physical Examination== | ||
| Line 14: | Line 18: | ||
* Nasal blotchy [[erythema]] | * Nasal blotchy [[erythema]] | ||
* [[Freckle]]-like pigmentation over centro-facial area | * [[Freckle]]-like pigmentation over centro-facial area | ||
* [[Flagellate]] pigmentation on face and extremities | * [[Flagellate]] [[pigmentation]] on face and extremities | ||
* Lichenoid eruption and [[hyperpigmentation]] in photodistributed areas | * [[Lichenification|Lichenoid]] [[eruption]] and [[hyperpigmentation]] in photodistributed areas | ||
* Multiple aphthous-like [[ulcer]]s over [[scrotum]], crural areas and [[axilla]]. | * Multiple [[aphthous]]-like [[ulcer]]s over [[scrotum]], crural areas and [[axilla]]. | ||
* [[Lymphedema]] in acral distribution (bilateral/unilateral) | * [[Lymphedema]] in acral distribution (bilateral/unilateral) | ||
* Multiple [[ecchymosis|ecchymotic spots]] ( | * Multiple [[ecchymosis|ecchymotic spots]] (children) | ||
* Vesiculobullous [[lesion]]s (infants) | * Vesiculobullous [[lesion]]s (infants) | ||
* Subungual [[hemorrhage]] | * Subungual [[hemorrhage]] | ||
| Line 38: | Line 42: | ||
File:Chikungunya clinical presentation acute disease 03.jpg|[[Erythema]] that blanches with pressure | File:Chikungunya clinical presentation acute disease 03.jpg|[[Erythema]] that blanches with pressure | ||
File:Chikungunya clinical presentation acute disease 04.jpg|Periarticular [[swelling]] and joint effusion in knees | File:Chikungunya clinical presentation acute disease 04.jpg|Periarticular [[swelling]] and joint effusion in knees | ||
File:Joint manifestation of Chikungunya.png|Joint effusion in right knee | |||
File:Joint manifestation of Chikungunya 2.png|Arthritis in left hand | |||
File:Chikungunya clinical presentation acute disease 05.jpg|[[Maculopapular rash]] in trunk and extremities | File:Chikungunya clinical presentation acute disease 05.jpg|[[Maculopapular rash]] in trunk and extremities | ||
File:Chikungunya clinical presentation acute disease 06.jpg|[[Maculopapular rash]] in extremities, including palms | File:Chikungunya clinical presentation acute disease 06.jpg|[[Maculopapular rash]] in extremities, including palms | ||
| Line 68: | Line 74: | ||
[[Category:Disease]] | [[Category:Disease]] | ||
[[Category:Viral diseases]] | [[Category:Viral diseases]] | ||
[[Category:Togaviruses]] | [[Category:Togaviruses]] | ||
[[Category:Tropical disease]] | [[Category:Tropical disease]] | ||
Latest revision as of 17:23, 18 September 2017
|
Chikungunya Microchapters |
|
Diagnosis |
|---|
|
Treatment |
|
Case Studies |
|
Chikungunya physical examination On the Web |
|
American Roentgen Ray Society Images of Chikungunya physical examination |
|
Risk calculators and risk factors for Chikungunya physical examination |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Alejandro Lemor, M.D. [2], Alonso Alvarado, M.D. [3]
Overview
Chikungunya usually presents with clinical signs such as fever, skin rashes, and joint swelling with effusions that can be detected during a physical examination.
Physical Examination
Fever
The disease is characterized by an acute onset of high fever, typically more than 39°C (102°F).
Skin
- Maculopapular rash
- Nasal blotchy erythema
- Freckle-like pigmentation over centro-facial area
- Flagellate pigmentation on face and extremities
- Lichenoid eruption and hyperpigmentation in photodistributed areas
- Multiple aphthous-like ulcers over scrotum, crural areas and axilla.
- Lymphedema in acral distribution (bilateral/unilateral)
- Multiple ecchymotic spots (children)
- Vesiculobullous lesions (infants)
- Subungual hemorrhage
- Photo urticaria
- Acral urticaria
Joints
- Polyarthralgia usually symmetric and often occur in hands and feet
- Periarticular swelling and joint effusion in knees.
Gallery Adapted from Preparedness and Response for Chikungunya Virus: Introduction in the Americas. PAHO © 2011.[1]
Acute Disease
-
-
Edematous polyarthritis of the hands -
Erythema that blanches with pressure -
Periarticular swelling and joint effusion in knees -
Joint effusion in right knee -
Arthritis in left hand -
Maculopapular rash in trunk and extremities -
Maculopapular rash in extremities, including palms -
Bullous lesions in infant leg -
Infant with maculopapular rash, petechial spots and erythema of upper and lower limbs associated with edema of the extremities -
Maculopapular rash in the trunk -
Maculopapular rash in the feet
Subacute and Chronic Disease
-
End of the acute stage. Swollen hands and fine desquamation -
-
Tenosynovitis in hands -
Tenosynovitis in ankle -
Elbow hygroma -
References
- ↑ Preparedness and response for Chikungunya virus introduction in the Americas. Washington, DC: Pan American Health Organization CDC, Center for Disease Control and Prevention. 2011. ISBN 978-92-75-11632-6.