Chikungunya physical examination

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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

Maculopapular rash caused by Chikunguyna in the feet

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.
• Lympoedema 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.