Cutaneous features of chikungunya - A case series from North India

Priyanka Sharma, Jasleen Kaur, Gurvinder P Thami


Objective To document cutaneous features of Chikungunya (CKG) in a recent outbreak of CKG in August 2016 in North India.


Methods A total of 32 patients with cutaneous manifestations of suspected CKG were enrolled in the study.


Results A wide variety of cutaneous lesions were observed. Maculopapular rash was the most frequent cutaneous manifestation followed closely by hyperpigmentation. A typical nose pigmentation previously reported in CKG, was also noted in this study. In addition, diffuse facial pigmentation was another common pattern observed, predominantly in the females. Aphthous stomatitis and lymphedema were the other less frequent manifestations in this study. Vesiculobullous lesions were seen in infants. Exacerbation of underlying dermatoses was also noted.


Conclusion There is a wide spectrum of cutaneous manifestations in CKG besides the maculopapular rash, unlike most other viral infections. Some of the typical pigmentary patterns can be considered as markers for the diagnosis of CKG.



Chikungunya, cutaneous manifestations/features, Chik sign, hyperpigmentation, vesiculobullous

Full Text:



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

Robinson MC. An epidemic of virus disease in Southern Province, Tanganyika Territory, in 1952-53 I: Clinical features. Trans R Soc Trop Med Hyg. 1955;49:28-32.

Lumsden WH. An epidemic of virus disease in Southern Province, Tanganyika Territory, in 1952-53; II. General description and epidemiology. Trans R Soc Trop Med Hyg. 1955;49:33-57.

Inamadar A, Palit A, Sampagavi V, Raghunath S, Deshmukh NS. Cutaneous manifestations of chikungunya fever: observations made during a recent outbreak in south India. Int J Dermatol. 2008;47:154-9.

World Health Organization, Regional Office for South-East Asia. Guidelines on Clinical Management of Chikungunya Fever. New Delhi: World Health Organization, Regional Office for South-East Asia; 2008.

Pialoux G, Gauzere BA, Jaureguiberry S, Strobel M. Chikungunya: an epidemic arbovirosis. Lancet Infect Dis. 2007;7:319-27.

World Health Organization. Proposed case definition of chikungunya fever: WHO South East Asia Regional Office. Available at: htttp:// [accessed on 2009 Sep. 21]

Cecilia D. Current status of dengue and chikungunya in India. WHO South East Asia J Public Health. 2014;3:22-6.

NVBDCP 2016. Status as of Dec 2016. Accessed on Feb 16th, 2017.

Bandyopadhyay D, Ghosh SK. Mucocutaneous manifestations of Chikungunya fever. Indian J Dermatol. 2010;55:64-7.

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

Bhat RM, Rai Y, Ramesh A, Sukumar D, Martis J, Kamath GH. Mucocutaneous manifestations of chikungunya fever: A study from an epidemic in coastal Karnataka. Indian J Dermatol. 2011;56:290-4.

Seetharam KA, Sridevi K, Vidyasagar P. Cutaneous manifestations of chikungunya fever. Indian Pediatr. 2012;49:51-3.

Thomas EA, John M, Kanish B. Mucocutaneous manifestations of dengue fever. Indian J Dermatol. 2010;55:79-85.


  • There are currently no refbacks.

ISSN: 1560-9014