Chikungunya physical examination: Difference between revisions
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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 | ||
Revision as of 19:14, 18 June 2014
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Chikungunya Microchapters |
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Diagnosis |
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Treatment |
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Case Studies |
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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]
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
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Edematous polyarthritis of the hands
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Erythema that blanches with pressure
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Periarticular swelling and joint effusion in knees
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Joint effusion in right knee
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Arthritis in left hand
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Maculopapular rash in trunk and extremities
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Maculopapular rash in extremities, including palms
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Bullous lesions in infant leg
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Infant with maculopapular rash, petechial spots and erythema of upper and lower limbs associated with edema of the extremities
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Maculopapular rash in the trunk
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Maculopapular rash in the feet
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
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Tenosynovitis in ankle
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Elbow hygroma
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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.