Patterns of dengue rash in patients presenting with dengue fever in emergency.

Abstract

Objective: Patterns of Dengue Rash in Patients Presenting with Dengue Fever in Emergency. Study Design: Descriptive study. Setting: Emergency Department, Ziauddin Hospital. Period: September 2022 to October 2022. Methods: The sample size of study was n=250. The study was conducted in dengue endemic months on patients presenting in emergency department with confirmed dengue fever patients with serological testing positive of either gender and age 14yrs-60yrs with different clinical manifestations of dengue fever. All the patients with other febrile illness associated rash like measles, previous dermatological conditions were excluded from the study. Results: The mean age of the patients was 35.68±10.7 yrs. The frequency of males and females was n=129:121 (51.6%:48.4%). Mostly the patients presented from 20-35yrs of age were n=137 (54.8%), 36-50yrs n= 86(34.4%), n= 27(10.8%) for 51-60yrs of age. Of total cases enrolled, n=40 patients presented with an atypical rash resembling morbilliform n=10, n= 12 present with itchy rash with red patches of skin and raised border, n= 8 with itchy papular shutter cock resembling rash, and n=10 with isolated rashes involving only palms and soles with moderate to severe pruritus. Conclusion: Increasing incidence and emergence of different strains are associated with atypical rash further serotype testing for other types in dengue are required.