Myriad cutaneous presentation of chikungunya fever during recent epidemic in Gujarat: a case study of 124 cases

Abstract

<p class="abstract"><strong>Background:</strong> Chikungunya fever (CKG) epidemic had been recently re-emerged in Gujarat affecting large population. It is an acute viral infection caused by Togavirus, transmitted by <em>Aedes</em> mosquitos, can present with abrupt onset of fever, severe arthralgia, constitutional symptoms and cutaneous manifestations. We have reviewed cutaneous manifestations of CKG during recent epidemic (July-October 2017). The object of the study was to determine incidence of various cutaneous manifestations of Chikungunya fever.</p><p class="abstract"><strong>Methods:</strong> A total of 124 patients (56 males and 68 females) with cutaneous manifestations of CKG were enrolled in the study and serological confirmation was done.<strong></strong></p><p class="abstract"><strong>Results:</strong> Cutaneous manifestations were found more in females. Generalized erythematous maculo-papular rash was the most common finding (62.9%). Vesiculo-bullous eruption (7.25%) and toxic epidermal necrolysis-like lesions sparing mucosa (4.03%) were the other interesting findings. Different types of pigmentation were observed with striking nasal pigmentation in 7.25% patients. Aphthous like ulcers in intertriginous area were seen in 8.87%. There was flare up of existing conditions like Still’s disease and psoriasis.</p><p class="abstract"><strong>Conclusions:</strong> A wide variety of cutaneous manifestations of CKG with an unusual presentation was encountered with confirmed serological evidence.</p>