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Complete blood count revealed a significantly reduced platelet count of 11000\/\u00b5L suggestive of dengue haemorrhagic fever (DHF). Ocular manifestations were followed by other systemic haemorrhagic manifestations of dengue later on which violates the usual sequence of events of dengue fever. Bilateral eyelid ecchymosis is a rare clinical manifestation and a rare presenting feature of dengue fever and one has to keep high index of suspicion for presence of dengue whenever a case of fever presents with lid ecchymosis\/haemorrhage.<\/jats:p>","DOI":"10.1177\/0049475514565429","type":"journal-article","created":{"date-parts":[[2014,12,24]],"date-time":"2014-12-24T23:15:42Z","timestamp":1419462942000},"page":"236-238","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":1,"title":["Bilateral eyelid ecchymosis and subconjunctival haemorrhage manifesting as presenting feature in a case of dengue haemorrhagic fever"],"prefix":"10.1177","volume":"45","author":[{"given":"Sparshi","family":"Jain","sequence":"first","affiliation":[{"name":"Senior Resident, DO, DNB, Guru Nanak Eye Centre, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anup","family":"Goswami","sequence":"additional","affiliation":[{"name":"Senior Specialist, MS, Swami Dayanand Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nidhi","family":"Singh","sequence":"additional","affiliation":[{"name":"Medical Officer, MS, Swami Dayanand Hospital, New Delhi, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Savleen","family":"Kaur","sequence":"additional","affiliation":[{"name":"Senior Resident, MS, Post Graduate Institute of Medical Education and Research, Chandigarh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2014,12,24]]},"reference":[{"key":"bibr1-0049475514565429","doi-asserted-by":"publisher","DOI":"10.1016\/j.injury.2013.09.010"},{"key":"bibr2-0049475514565429","first-page":"479","volume-title":"Head and Neck Surgery \u2013 Otolaryngology. 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