Mucocutaneo us manifestations in patients with dengue fever


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Objectives: To observe the frequency and types of mucocutaneous manifestations in patients of dengue fever.
Material and Methods: This prospective cross-sectional study was conducted at Khyber teaching hospital Peshawar,
from July 2017 to January 2018. Two hundred and twenty eight patients were enrolled in the study. Patients fulfilling
the inclusion criteria were subjected to detailed history, clinical, mucocutaneous and systemic examination.
Relevant investigations were done. Data was recorded in pre-designed pro forma and analyzed.
Results: Among a total of 228 patients included in the study, 123 were male and 105 were female. The mean age
was 34.57±14.9 years. Macular rash was present in 47 patients, purpura in 17 patients, pruritis in 75 patients, burning
sensation in 20 patients and other skin rashes were present in 14 patients. Mucosal erythema in 29 patients, oral
thrush in 13 patients, aphthous ulcer in 8 patients and mucosal purpura was found in 8 patients.
Conclusion: Mucocutaneous manifestations are important clues in the diagnosis of dengue fever. Early recognition
may help in saving life of patients.
Key Words: Dengue fever, mucocutaneous manifestations, shock, purpura, bleeding.

Irfan Ullah2
Muhammad Majid Paracha
Hina Zahoor