Syeda Summaya Jamal, Muhammad Irfan Anwar, Naveed Akhtar Malik, Naseema Kapadia.
Mucocutaneous manifestations of chikungunya fever.
J Pak Assoc Derma Jan ;30(1):58-63.

Objective: To study the mucocutaneous manifestations of chikungunya fever (CHK) during acute and convalescent phase.   Methods: We enrolled a total of 103 patients in this descriptive study from May 2017 to Oct 2017. Pateints were enrolled by purposive sampling technique. Data analysis was done by SPSS 16.   Results: Cutaneous hyperpigmentation was found to be the most frequent (64.7%) change observed in both acute and convalescent phase. The predominant area of involvement was face (71%) and most common pattern was melasma like pigmentation (54.5%). Morbilliform rash was next common presentation (61.76%). Rash started cephalocaudally and later spread to chest and trunk.   Conclusion: Morbilliform rash was the most common cutaneous presentation in acute CHK and hyperpigmentation was the most common sequela in convalescent phase.  

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