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    Dengue Convalescent Rash in Adult Indonesian Patie

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    drlazyboy
    This document discusses dengue convalescent rash in adult Indonesian patients. It notes that dengue convalescent rash is rare in Indonesian patients but can appear as a pruritic petechial rash with clear islands 3-6 days after fever onset. The document presents images of dengue convalescent rash on a patient's extremities and abdomen. It also provides background on dengue in Indonesia and the typical phases of dengue virus infection.

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    Dengue Convalescent Rash in Adult Indonesian Patie

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    drlazyboy
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    This document discusses dengue convalescent rash in adult Indonesian patients. It notes that dengue convalescent rash is rare in Indonesian patients but can appear as a pruritic petechial rash with clear islands 3-6 days after fever onset. The document presents images of dengue convalescent rash on a patient's extremities and abdomen. It also provides background on dengue in Indonesia and the typical phases of dengue virus infection.

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    This document discusses dengue convalescent rash in adult Indonesian patients. It notes that dengue convalescent rash is rare in Indonesian patients but can appear as a pruritic petechial rash with clear islands 3-6 days after fever onset. The document presents images of dengue convalescent rash on a patient's extremities and abdomen. It also provides background on dengue in Indonesia and the typical phases of dengue virus infection.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    20 views3 pages

    Dengue Convalescent Rash in Adult Indonesian Patie

    Uploaded by

    drlazyboy
    This document discusses dengue convalescent rash in adult Indonesian patients. It notes that dengue convalescent rash is rare in Indonesian patients but can appear as a pruritic petechial rash with clear islands 3-6 days after fever onset. The document presents images of dengue convalescent rash on a patient's extremities and abdomen. It also provides background on dengue in Indonesia and the typical phases of dengue virus infection.

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    © All Rights Reserved
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    net/publication/271592708

    Dengue convalescent rash in adult Indonesian patients

    Article  in  Acta medica Indonesiana · October 2014


    Source: PubMed

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    2 authors:

    Erni Nelwan Pohan T Herdiman

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    MEDICAL ILLUSTRATION

    Dengue Convalescent Rash in Adult Indonesian Patients

    Erni J. Nelwan, Herdiman T. Pohan


    Department of Internal Medicine. Faculty of Medicine Universitas Indonesia - Cipto Mangunkusumo Hospital,
    Jakarta, Indonesia.

    Correspondence mail:
    Division of Tropical and Infectious Disease. Department of Internal Medicine. Faculty of Medicine Universitas
    Indonesia. Jl. Diponegoro no. 71, Jakarta 10430, Indonesia. email: ejnelwan@yahoo.com.

    (a) (b)

    (c)

    Figure 1 (a-c). Dengue convalescent rash on devervesence day 3. The white isles within the red area on both extremities
    and right lateral abdomen.

    Acta Medica Indonesiana - The Indonesian Journal of Internal Medicine 339


    Erni J. Nelwan Acta Med Indones-Indones J Intern Med

    Dengue hemorrhagic fever is still a serious The convalescent phase characterized


    problem in Indonesia. Since the first cases when plasma leakage stops and reabsorption
    reported in 1968, incidence rate has increased begins. Patient reported less sign and symptom.
    and around 37.3/100.000 populations was Convalescent rash could be worrisome for
    infected with the Dengue virus in 2012 with case patients and might be accompanied with a serious
    fatality rate of 0.9%.1 itchy.
    Dengue is a self-limited, systemic viral Among Indonesian patients, the occurrence
    infection. Efforts to understand the disease of convalescent rash was very rare reported.
    in terms of spectrum of illness, clinical Convalescent rash appeared as a confluent
    manifestation, pathogenesis, diagnosis and pruritic, petechial with multiple small round
    management were made to decrease morbidity islands of unaffected skin. This finding is more
    and mortality.2 often reported among children.4 This rash may
    Dengue virus infection involves three appear between 3 and 6 days after onset of
    phases of illness; the febrile phase, the critical fever. There is no specific treatment or risk for
    phase (plasma leakage) and the convalescent having this rash. On all of these patients the
    (reabsorption) phase.3 administration of antihistamine was introduce
    During the febrile phase, most patient due to serious itchy complaints.
    a reported high peak of fever with frontal
    headache, with and without hepatomegaly or REFERENCES
    hemorrhagic manifestation. This will last around 1. Directorate General of Disease Control and
    the first 3 days of illness. Following the absence Environmental Health. Ministry of Health, Republic
    of Indonesia. Report 2013
    of the fever, there is a higher risk of having
    2. Simmons CP, Farrar JJ, van Vinh Chau, Wils,
    plasma leakage or hemorrhage. Patient also more B. Dengue. Current concepts. N Engl J Med.
    prone of become shock. On this second phase of 2012:366:1423-32
    illness, WHO developed the warning signs to 3. Centers for Disease Control and Prevention. Clinical
    guide clinician to perform immediate medical Guidance. Dengue virus. www.cdc.gov/dengue/
    evaluation. clinicallab/clinical.html
    4. Vijayalakshmi AM, Jayavardhana A. Febrile rash and
    convalescent rash of dengue fever. Indian Pediatr.
    2013;50(7):717.

    340

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