{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,25]],"date-time":"2026-08-25T20:27:58Z","timestamp":1787689678252,"version":"build-2784847793"},"reference-count":19,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2008,1,15]],"date-time":"2008-01-15T00:00:00Z","timestamp":1200355200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Int J Dermatology"],"published-print":{"date-parts":[[2008,2]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    <jats:bold>Background\u2002<\/jats:bold>\n                    Chikungunya fever is an\n                    <jats:italic>Aedes<\/jats:italic>\n                    mosquito\u2010borne Arbo viral illness with significant morbidity.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Methods\u2002<\/jats:bold>\n                    In a recent outbreak of the disease in south India, the dermatologic manifestations of 145 patients attending a tertiary care hospital were recorded.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Results\u2002<\/jats:bold>\n                    All age groups were affected, including newborns. Some of the cutaneous features were observed during the acute stage of the illness, and others during convalescence or thereafter. Pigmentary changes were found to be the most common cutaneous finding (42%), followed by maculopapular eruption (33%) and intertriginous aphthous\u2010like ulcers (21.37%). Lesions with significant morbidity were generalized vesiculobullous eruptions (2.75%), found only in infants, lymphedema, and intertriginous aphthous\u2010like ulcers. Exacerbation of existing dermatoses, such as psoriasis, and unmasking of undiagnosed Hansen's disease were observed. A perivascular lymphocytic infiltrate was a consistent histopathologic finding in all types of skin lesions. All patients responded well to symptomatic, conservative treatment.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:bold>Conclusions\u2002<\/jats:bold>\n                    The cutaneous findings hitherto not reported may be the result of the African genotype of the virus detected during this outbreak in India.\n                  <\/jats:p>","DOI":"10.1111\/j.1365-4632.2008.03478.x","type":"journal-article","created":{"date-parts":[[2009,9,17]],"date-time":"2009-09-17T08:00:11Z","timestamp":1253174411000},"page":"154-159","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":109,"title":["Cutaneous manifestations of chikungunya fever: observations made during a recent outbreak in south India"],"prefix":"10.1111","volume":"47","author":[{"given":"Arun C.","family":"Inamadar","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Aparna","family":"Palit","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"V. V.","family":"Sampagavi","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S.","family":"Raghunath","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"N. S.","family":"Deshmukh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2008,1,15]]},"reference":[{"key":"e_1_2_4_2_2","first-page":"1217","volume-title":"Clinical Virology","author":"Tsai TF","year":"1997"},{"key":"e_1_2_4_3_2","doi-asserted-by":"publisher","DOI":"10.1016\/0035-9203(55)90080-8"},{"key":"e_1_2_4_4_2","first-page":"246","volume-title":"Hunter's Tropical Medicine and Emerging Infectious Diseases","author":"Tsai T.","year":"2000"},{"key":"e_1_2_4_5_2","unstructured":"Author.Chikungunya Fever Information Sheet. URLhttp:\/\/www.searo.who.int\/en\/section10\/Section2246.htm[accessed on 5 March 2007]."},{"key":"e_1_2_4_6_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1210.060529"},{"key":"e_1_2_4_7_2","first-page":"1","article-title":"Chikungunya fever","volume":"10","author":"Author","year":"2006","journal-title":"CD Alert"},{"key":"e_1_2_4_8_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0755-4982(06)74874-6"},{"key":"e_1_2_4_9_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1210.060610"},{"key":"e_1_2_4_10_2","first-page":"231","article-title":"Chikungunya viral arthropathy: a clinical description","volume":"7","author":"Kennedy AC","year":"1980","journal-title":"J Rheumatol"},{"key":"e_1_2_4_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1365-4362.1979.tb04677.x"},{"key":"e_1_2_4_12_2","unstructured":"Centres for Disease ControlandPrevention.Outbreak Notice: Chikungunya Fever in India June 19 2006. URLhttp:\/\/www.cdc.gov\/travel\/other\/2006\/chikungunya_india.htm\u00a0[accessed on 23 August 2006]."},{"key":"e_1_2_4_13_2","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(06)69017-X"},{"key":"e_1_2_4_14_2","first-page":"305","article-title":"Isolation of chikungunya from Aedes aegypti mosquitoes collected in town of Yawat, Pune district, Maharashtra State, India","volume":"45","author":"Mourya DT","year":"2002","journal-title":"Acta Virol"},{"key":"e_1_2_4_15_2","doi-asserted-by":"publisher","DOI":"10.4103\/0255-0857.25175"},{"key":"e_1_2_4_16_2","doi-asserted-by":"publisher","DOI":"10.3201\/eid1210.060495"},{"key":"e_1_2_4_17_2","first-page":"729","article-title":"Clinical and pathological studies on chikungunya fever in Madras city","volume":"53","author":"Thiruvengadam KV","year":"1965","journal-title":"Indian J Med Res"},{"key":"e_1_2_4_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/0470020970.ch16"},{"key":"e_1_2_4_19_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.medmal.2006.04.002"},{"key":"e_1_2_4_20_2","first-page":"471","article-title":"Chikungunya fever: clinical manifestations and management","volume":"124","author":"Mohan A.","year":"2006","journal-title":"Indian J Med Res"}],"container-title":["International Journal of Dermatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1365-4632.2008.03478.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1365-4632.2008.03478.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,9]],"date-time":"2023-10-09T14:16:15Z","timestamp":1696860975000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/j.1365-4632.2008.03478.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2008,1,15]]},"references-count":19,"journal-issue":{"issue":"2","published-print":{"date-parts":[[2008,2]]}},"alternative-id":["10.1111\/j.1365-4632.2008.03478.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1365-4632.2008.03478.x","archive":["Portico"],"relation":{},"ISSN":["0011-9059","1365-4632"],"issn-type":[{"value":"0011-9059","type":"print"},{"value":"1365-4632","type":"electronic"}],"subject":[],"published":{"date-parts":[[2008,1,15]]},"assertion":[{"value":"2008-01-15","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}