Chikungunya physical examination: Difference between revisions
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===Joints=== | ===Joints=== | ||
* [[Polyarthralgia]] usually symmetric and often occur in hands and feet | * [[Polyarthralgia]] usually symmetric and often occur in hands and feet | ||
* Periarticular [[swelling]] and | * Periarticular [[swelling]] and joint effusion in knees. | ||
==Gallery <SMALL><SMALL><SMALL><SMALL><SMALL>Adapted from ''Preparedness and Response for Chikungunya Virus: Introduction in the Americas. PAHO © 2011.''<ref name=PAHO2011>{{cite book | last = | first = | title = Preparedness and response for Chikungunya virus introduction in the Americas | publisher = Pan American Health Organization CDC, Center for Disease Control and Prevention | location = Washington, DC | year = 2011 | isbn = 978-92-75-11632-6 }}</ref></SMALL></SMALL></SMALL></SMALL></SMALL>== | |||
===Acute Disease=== | |||
<gallery> | |||
File:Chikungunya clinical presentation acute disease 01.jpg|Edematous rash of the face | |||
File:Chikungunya clinical presentation acute disease 02.jpg|Edematous poylarthritis of the hands | |||
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 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 07.jpg|Bullous lesions in infant leg | |||
File:Chikungunya clinical presentation acute disease 08.jpg|Infant with maculo-papular rash, petechial spots and erythema of upper and lower limbs associated with edema of the extremities | |||
</gallery> | |||
===Subacute and Chronic Disease=== | |||
<gallery> | |||
File:Chikungunya clinical presentation subacute or chronic disease 01.jpg|End of the acute stage. Swollen hands and fine desquamation | |||
File:Chikungunya clinical presentation subacute or chronic disease 02.jpg|Hyperpigmentation | |||
File:Chikungunya clinical presentation subacute or chronic disease 03.jpg|Tenosynovitis in hands | |||
File:Chikungunya clinical presentation subacute or chronic disease 04.jpg|Tenosynovitis in ankle | |||
File:Chikungunya clinical presentation subacute or chronic disease 05.jpg|Elbow hygroma | |||
File:Chikungunya clinical presentation subacute or chronic disease 06.jpg|Swollen and stiff hands in a 55-year-old man who was infected 5 years earlier | |||
</gallery> | |||
==References== | ==References== | ||
{{Reflist|2}} | {{Reflist|2}} | ||
==External Links== | |||
* [http://www.cdc.gov/Chikungunya/index.html CDC Chikungunya virus] | |||
[[Category:Disease]] | [[Category:Disease]] | ||
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[[Category:Togaviruses]] | [[Category:Togaviruses]] | ||
[[Category:Tropical disease]] | [[Category:Tropical disease]] | ||
Revision as of 17:48, 13 June 2014
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Chikungunya physical examination On the Web |
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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]
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 rash of the face -
Edematous poylarthritis of the hands -
Erythema that blanches with pressure -
Periarticular swelling and joint effusion in knees -
Maculopapular rash in trunk and extremities -
Maculopapular rash in extremities, including palms -
Bullous lesions in infant leg -
Infant with maculo-papular rash, petechial spots and erythema of upper and lower limbs associated with edema of the extremities
Subacute and Chronic Disease
-
End of the acute stage. Swollen hands and fine desquamation -
Hyperpigmentation -
Tenosynovitis in hands -
Tenosynovitis in ankle -
Elbow hygroma -
Swollen and stiff hands in a 55-year-old man who was infected 5 years earlier
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.