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Cutaneous manifestations of chikungunya fever

K A Seetharam1, K Sridevi, P Vidyasagar

  • 1Department of Dermatology and STD, Katuri Medical College, Guntur, AP, India. seetharamka@gmail.com

Indian Pediatrics
|October 14, 2011
PubMed

Insights

Chikungunya fever presents unique skin issues in children, differing from adults. Pigmentary and vesiculobullous lesions are common in pediatric chikungunya virus infections.

Area of Science:

  • Pediatric Dermatology
  • Infectious Diseases
  • Virology

Background:

  • Chikungunya fever is a re-emerging RNA viral infection.
  • Cutaneous manifestations in children differ significantly from adults.
  • Understanding these differences is crucial for diagnosis and management.

Purpose of the Study:

  • To describe the spectrum of cutaneous manifestations of chikungunya fever in children.
  • To compare pediatric findings with adult presentations.
  • To document rare or novel dermatological presentations in children.

Main Methods:

  • Retrospective analysis of 52 children diagnosed with chikungunya fever.
  • Confirmation of infection via positive IgM antibody tests.
  • Clinical documentation and categorization of observed skin lesions.

Main Results:

  • Pigmentary lesions were most frequent (27/52), followed by vesiculobullous (16/52) and maculopapular lesions (14/52).
  • Vesiculobullous lesions were notably common in infants.
  • Exacerbation of psoriasis (4 children) and new-onset guttate psoriasis (2 children) were observed.

Conclusions:

  • Chikungunya fever in children presents with distinct dermatological patterns, including a high prevalence of pigmentary and vesiculobullous lesions.
  • Vesiculobullous lesions, rare in adults, are a significant finding in pediatric chikungunya.
  • The study highlights the varied and sometimes severe dermatological impact of chikungunya virus in pediatric populations, including psoriasis exacerbation.

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