Study of cutaneous manifestation of chikungunya and its serological correlation

  • Geeta B. Shinde Assistant Professor, Department of Dermatology, Seth V. C. Gandhi and Seth M.A. Vora Municipal General hospital, Rajawadi, Ghatkopar
  • Sanjay Popere Associate Professor, Department of orthopedic surgeon, Rajiv Gandhi Medical College and Chhatrapati Shivaji Maharaj Hospital, Thane
Keywords: Chikungunya, Hyperpigmentation, IgM ELISA, Reticulate pattern

Abstract

Aim: To assess the hyperpigmentation after fever and joint pain as a cutaneous marker of chikungunya fever and to assess with serological correlation.

Methods: A total of 15 patients comprised of 9 males, 6 females  and  neonate have aged between 14 days to 60 years presented with the pigmentation after the fever subsided were enrolled in the study. The diagnosis of chikungunya was made by detecting virus specific IgM ELISA in the serum.

Results: Serological immunoglobulin M enzyme – linked immunosorbent assay (IgM ELISA) test or chikungunya virus was positive in all the patients. Generalized dark coloured pigmentation was the most common finding after the fever subsided. On examination, out of 15 cases, in most of the cases, hyperpigmentation was observed all over the body with the facial involvement. Few cases showed pigmentation over nose, centre of upper lip, on palm, sole, eyelid, dorsum, centrofacial, reticulate pattern on the face and blotchy pigmentation.

Conclusion: The presence of pigmentation after fever and joint pain helps to make a retrospective diagnosis of chikungunya fever and this may be considered as a cutaneous marker of chikungunya fever in recent past. 

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Published
2018-05-01
How to Cite
1.
Shinde G, Popere S. Study of cutaneous manifestation of chikungunya and its serological correlation. IJBR [Internet]. 1May2018 [cited 14Dec.2018];9(4):137-42. Available from: https://ssjournals.com.md-in-1.webhostbox.net/index.php/ijbr/article/view/4747
Section
Original Research Articles