Isolated Nail Pigmentation Associated with Chikungunya: A Hitherto Unreported Manifestation

Chikungunya (CHK) fever is a re-emerging RNA viral infection caused by the bite of infected Aedes mosquitoes which presents with a multitude of mucocutaneous manifestations, including a characteristic morbilliform rash, centrofacial pigmentation, aphthae-like lesions, and vesiculobullous lesions sparing mucosae. The majority of these lesions resolve spontaneously and do not require specific therapy. With regular and cyclical outbreaks in many countries for many decades, it is obligatory for dermatologists to be aware of the different skin lesions in the wake of early diagnosis and the need for conservative management. We report 2 cases from India developing isolated melanonychia with CHK fever.