Varied cutaneous manifestation of chikungunya fever: a case series

Ravindranath B. Chavan, Aarti S. Salunke, Vasudha A. Belgaumkar, Neelima M. Bansal, Sweta S. Tharewal


Chikungunya fever (CF) has recently re­emerged as a major public health problem of global scale. It is characterized by an acute onset of high fever associated with severe disabling arthritis, vomiting, sore throat and often with prominent cutaneous manifestations. 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. We report a case series of ten patients presenting with pigmentation (over face, palm, sole, knuckles, fingers) and vesiculobullous lesions which were diagnosed as chikungunya rash based on of clinical and serological investigation.


Chikungunya viral fever, Hyperpigmentation, Serology

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World Health Organization. Chikungunya and Dengue in South West India. Occurrence, Epidemic and Pandemic. Response 17 March 2006 Available at index/html. Accessed on 10 March 2017.

Mohan A. Chikungunya fever: clinical manifestations and management. Indian J Med Res. 2006;124:471–4.

World Health Organization. Proposed case definition of chikungunya fever: WHO South East Asia Regional Office. Available at: htttp:// Accessed on 1 March 2017.

Ravi V. Re-emergence of chikungunya virus in India. Indian J Med Microbiol. 2006;24(2):83.

Mangalgi SM, Shenoy SS, Maralusiddappa PG, Aprameya IV. Neonatal Chikungunya aâ ‚ A Case Series. J Pediatr Sci. 2011;3(2):74.

Inamdar AC, Palit A, Sampagavi NV, Raghunath S, Deshmukh NS. Cutaneous manifestations of Chikungunya fever. Observations made during a recent outbreak in South India. Int J Dermatol. 2008;47:1549.

Riyaz N, Riyaz A, Latheef EA, Anitha PM, Aravindan KP, Nair AS, et al. Cutaneous manifestations of chikungunya during a recent epidemic in Calicut, north Kerala, south India. Indian J Dermatol Venereol Leprol. 2010;76(6):671.