Chikungunya physical examination
Chikungunya physical examination On the Web
American Roentgen Ray Society Images of Chikungunya physical examination
Chikungunya usually presents with clinical signs such as fever, skin rashes, and joint swelling with effusions that can be detected during a physical examination.
The disease is characterized by an acute onset of high fever, typically more than 39°C (102°F).
- 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
- 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.
Erythema that blanches with pressure
Periarticular swelling and joint effusion in knees
Maculopapular rash in trunk and extremities
Maculopapular rash in extremities, including palms
Maculopapular rash in the trunk
Maculopapular rash in the feet