Unusual facial melanosis in viral fever

Shivakumar, V; Okade, Rajendra; Rajkumar, V; Rajashekar, TS

doi:10.4103/0019-5154.33295

Cited by 7 publications

(8 citation statements)

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“…Various patterns of pigmentary changes have been described in chikungunya fever. Similar to other studies,[ 20 21 ] nose was the most common site affected in our study. Nose pigmentation was also present in a 1 month old neonate.…”

Section: Discussionsupporting

confidence: 92%

Cutaneous manifestations of chikungunya fever: Observations from an outbreak at a Tertiary Care Hospital in Southeast Rajasthan, India

Kumar

Sharma

Jain

et al. 2017

Indian Dermatol Online J

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Background:Chikungunya fever is caused by chikungunya virus which is transmitted by the bite of infected Aedes aegypti and A. albopictus mosquitoes.Aims:To study the various mucocutaneous manifestations in suspected cases of chikungunya fever.Materials and Methods:The patients who attended our outpatient department from July 2016 to October 2016 and fulfilled the criteria for “suspect cases” of chikungunya infection stipulated by the National Institute of Communicable Diseases, Directorate General of Health Services, Government of India, were included in the study prospectively. A total of 112 patients (62 males and 50 females) with mucocutaneous manifestations of chikungunya fever were enrolled in the study.Results:Mucocutaneous manifestations were found more in males than females. Serological immunoglobulin M enzyme-linked immunosorbent assay (IgM ELISA) test for chikungunya virus was positive in 62 (55.3%) patients. Generalized erythematous maculopapular rash (53.5%) was the most common finding. Genital pustular rash with aphthae (4.4%), oral and intertriginous aphthae, red lunula, subungual hemorrhage, localized erythema of the ear pinnae, erythema, swelling, and eczematous changes over the preexisting scars and striae (scar phenomenon) were the other interesting findings. Various pattern of pigmentation (37.5%) were observed including striking nose pigmentation in a large number of patients, by looking at which even a retrospective diagnosis of chikungunya fever could be made. There was flare-up of existing dermatoses like psoriasis and dermatophytic infection.Conclusions:Wide varieties of the mucocutaneous manifestations were observed in our study, but the striking nose pigmentation was present irrespective of age and this peculiar pigmentation may be considered as a specific clinical marker of chikungunya fever. Chikungunya fever must be suspected in any patient with painful oro-genital and intertriginous aphthous-like lesions associated with febrile polyarthralgia with rash.

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Section: Discussionsupporting

confidence: 92%

Cutaneous manifestations of chikungunya fever: Observations from an outbreak at a Tertiary Care Hospital in Southeast Rajasthan, India

Kumar

Sharma

Jain

et al. 2017

Indian Dermatol Online J

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“…The hyperpigmented lesions on the nose, malar area and other pigmented areas showed a unique histology of increased basal pigmentation, pigmentary incontinence and melanophages [ Figure 6] as observed by others. [11,13] But a perivascular infiltrate was also present in these lesions. Melanophages have not been found in Inamdar's series.…”

Section: Discussionmentioning

confidence: 98%

“…Nose was the most common site affected [ Figure 4], as noticed by others also. [11,12] Pigmentation was macular, and a few of them had pin point (confetti) macules. Other patterns of pigmentation were melasma-like over the face, periorbital melanosis, irregular and flagellate patterns on the trunk, extremities, and abdomen and an Addisonian type of palmar pigmentation.…”

Section: Discussionmentioning

confidence: 98%

Cutaneous manifestations of chikungunya during a recent epidemic in Calicut, north Kerala, south India

Riyaz¹,

Riyaz²,

Rahima³

et al. 2010

Indian J Dermatol Venereol Leprol

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“…Exacerbation of existing dermatosis such as lichen planus, psoriasis and etc has been documented in CF (6). Histopathology of the pigmented lesion may show increased basal pigmentation, pigmentary incontinence and melanophages (11,12). The pathogenesis for pigmentation is not clear, and it could be post inflammatory pigmentation or an increased intra epidermal melanin dispersions/ retention triggered by the virus (6).…”

Section: Case Reportmentioning

confidence: 99%

Melasma Like Pigmentation Over Face After Chikungunya Fever – A Case Report

Shanmugasundaram¹

2013

jemds

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ABSTRACT:Chikungunya fever is an Arboviral acute febrile illness transmitted by the bite of infected Aedes mosquitoes. CF is characterized by an acute onset of high fever associated with severe disabling arthritis, vomiting, sore throat and often with prominent cutaneous manifestation. The disease is usually self limiting, but the joint symptoms and some cutaneous features may persist after defervescence. Various cutaneous changes have been described in association with CF. Here we are reporting a case of melasma like pigmentation over face observed after chikungunya fever.

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Unusual facial melanosis in viral fever

Cited by 7 publications

References 0 publications

Cutaneous manifestations of chikungunya fever: Observations from an outbreak at a Tertiary Care Hospital in Southeast Rajasthan, India

Cutaneous manifestations of chikungunya fever: Observations from an outbreak at a Tertiary Care Hospital in Southeast Rajasthan, India

Cutaneous manifestations of chikungunya during a recent epidemic in Calicut, north Kerala, south India

Melasma Like Pigmentation Over Face After Chikungunya Fever – A Case Report

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