Chikungunya physical examination: Difference between revisions
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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 01.jpg|End of the acute stage. [[Swelling|Swollen]] hands and fine [[desquamation]] | ||
File:Chikungunya clinical presentation subacute or chronic disease 02.jpg|Hyperpigmentation | 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 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 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 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 | File:Chikungunya clinical presentation subacute or chronic disease 06.jpg|[[Swelling|Swollen]] and [[stiffness|stiff]] hands in a 55-year-old man who was infected 5 years earlier | ||
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Revision as of 17:52, 13 June 2014
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Chikungunya Microchapters |
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Chikungunya physical examination On the Web |
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American Roentgen Ray Society Images of Chikungunya physical examination |
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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
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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
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Edematous polyarthritis 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 maculopapular rash, petechial spots and erythema of upper and lower limbs associated with edema of the extremities
Subacute and Chronic Disease
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End of the acute stage. Swollen hands and fine desquamation -
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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.