A patient came with history of joint pain and fever for one week. For which the patient took NSAIDS foilowing which he developed rash and hyperpigmentation on nose. What is the most likelv diagnosis?
Dengue
fixed Drug eruption
Chikungunya
melasma
Ans : C ChikungunyaRef: Hypapigmqtdion and &ilangurwfetEn &hasnw A" An has Demaor 20 I 6;9 I :g60-I r.Chikungunya fever (cF) is an acute febrile illness presenting with symptoms like intense asthenia, ahralgia, myalgia and headache and is caused by chikungunya virus (CV).Among the skin lesions, maculopapular rash is common, but seen in several viral illnesses, therefore, not useful in suspecting CF.Hyperpigmentation is a unique feature noted in CF.Hyperpigmentation associated with CF is macular and most commonly affects nose and cheeks.