Dengue Fever: Clinical Review of 19 Cases at the Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital

  • Nakao Yukie
    Department of Dermatology, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital
  • Sekine Mari
    Department of Dermatology, Tokyo Metropolitan Health and Medical Treatment Corporation Ebara Hospital

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  • 東京都保健医療公社荏原病院におけるデング熱19例の検討―発疹を含めた臨床的特徴を加えて―
  • トウキョウト ホケン イリョウ コウシャ エバラ ビョウイン ニ オケル デングネツ 19レイ ノ ケントウ ハッシン オ フクメタ リンショウテキ トクチョウ オ クワエテ

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We evaluated the clinical characteristics of eruptions in 19 patients with dengue fever treated at our hospital between September 1998 and September 2005 and present 2 representative cases. The mean age at the initial examination was 31.9 years. All the patients developed dengue fever soon after returning to Japan from areas with dengue epidemics. The major clinical symptoms were fever, pain (headache, orbital pain, muscle pain, joint pain),diarrhea,leucopenia, thrombocytopenia, liver dysfunction, and eruptions. Eruptions appeared from the previous day to the day of the fall in fever and were characterized by diffuse or sunburn-like erythematous macules, mainly on the trunk, limbs, palms, and soles, the macules were accompanied by petechiae and red papules in some parts. At present, with people often traveling abroad, dermatologists should become awere of dengue fever as a imported infection characterized by eruptions.

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