A pt.with joint pain, fever for one week, and to relieve the pain he had NSAIDS, following which He had developed Rash and hyperpigmentation on nose.what is the most likely diagnosis?
Fixed drug eruption
Ans. B. Chikungunya rash
- The picture depicts a chick sign seen in Chikungunya.
- Generalized morbilliform maculopapular rash with normal islands of intervening skin and characteristically sparing the face has been the most commonly (30–55%) reported manifestation.
- The rash develops within 3–4 days of the onset of fever and tends to subside in about a week without any sequel.
- Skin hyperpigmentation is the next most commonly encountered finding.
- It occurs in the form of centrofacial pigmentation predominantly involving the nose (Chick sign).
- It is the most commonly described pigmentation developing during the acute phase of the disease and helps in the retrospective diagnosis of CHK infection.