Image Based Question-79402

Image shown Child having vesicular lesions on lower lip, palms & soles, question was asked which of the following group causes the disease?

A. HSV – 1

B. Picornaviridae

C. Togaviridae

D. Pox virus

Correct Answer » C Explanation

Ans. C. Togaviridae

• Vesiculobullous lesions were common cutaneous manifestation of chikungunya fever in infants.
• Pigmentary lesions were generalized, brownish black and predominantly involved face and extremities.
• Generalized maculopapular eruption or erythema with islands of normal skin were noted, mostly 2-3 days after onset of fever.
• It started on trunk and then spread centrifugally involving face, palms and soles.
• Mucosal regions were spared.
• Mostly it subsided in 4-5 days, but in 5 cases there was peeling of the skin over body, palms and soles, resembling staphylococcal scalded skin syndrome (SSSS).