{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T20:18:55Z","timestamp":1792009135454,"version":"4.4.0"},"reference-count":24,"publisher":"Oxford University Press (OUP)","issue":"12","license":[{"start":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T00:00:00Z","timestamp":1719187200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>Chikungunya fever (CKF), a neglected tropical disease caused by the chikungunya virus, manifests with skin pigmentary changes in a significant portion of people. A myriad of pigmentary alterations in individuals with CKF have been documented in the literature. This review highlights the pathogenesis, clinical features, histopathology, diagnosis and treatment of CKF-associated pigmentation. Notable presentations include the \u2018Chik sign\u2019 often seen in neonates and children. Treatment involves reassurance and topical agents for persistent pigmentation. Understanding these pigmentary changes is crucial for accurate diagnosis and management, facilitating improved patient outcomes. Further research is warranted to fully elucidate the underlying mechanisms and optimize therapeutic strategies.<\/jats:p>","DOI":"10.1093\/ced\/llae242","type":"journal-article","created":{"date-parts":[[2024,6,24]],"date-time":"2024-06-24T17:26:58Z","timestamp":1719250018000},"page":"1489-1495","source":"Crossref","is-referenced-by-count":1,"title":["Chikungunya fever\u2019s chromatic chronicle: a kaleidoscope of pigmentary alterations"],"prefix":"10.1093","volume":"49","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1331-4554","authenticated-orcid":false,"given":"Vijayasankar","family":"Palaniappan","sequence":"first","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, Sri Manakula Vinayagar Medical College and Hospital , Pondicherry ,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hima","family":"Gopinath","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Venereology and Leprosy, All India 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