Skin Problems During Dengue

Friday, 30/09/2016

Dengue has become a major health issue in today’s world. Dengue fever is the infection caused by the female Aedes mosquito. Travelling to hot climates, Living in areas (or travelling to such areas) where stagnant water resides and where no mosquito control is attempted by the people, a repeated infection with another server of dengue virus not taking precautions to avoid mosquito bites are some of the reasons why dengue may be a threat to you.

Development of Skin Issues During Dengue

• The symptoms of dengue include sudden rise with high grade fever, painful muscles, bone and joint aches, headaches, chills (shivering or sweating or even both), rashes on the body (these may be itchy), red spots on the body and swollen lymph nodes appear first. Another common symptom is the pain behind or in the back of the eyes. Some patients of dengue may develop a sore throat, vomiting, nausea, abdominal pain, back pain, and even loss of appetite. These symptoms appear in the initial days and then reappear when a rash covers the patient’s whole body also inclusive of the face.

• Some patients can develop more severe symptoms such as hemorrhagic areas in the skin (like bruising), gums, and the gastrointestinal tract. This condition is known as DHF or Dengue Hemorrhagic Fever.

• Some patients can develop serious symptoms such as hemorrhagic red spots on the skin (like brushing). Bleeding from the gums, nose, and eyes.

• Gastro intestinal track bleeding may prove fatal for the patient, ending up in a life threatening condition known as DHF.

Types of Rashes

– Therefore, this shows that dengue has a great impact on the patient’s skin. Let us discuss the skin problems further.

– The rash generally appears a few days after the initial beginning of the fever. The rash ‘may’ appear twice. Once in the initial stages of the fever and a second time much later in the disease, which is rare but a definite possibility. Before the main rash appears the patient may get a lesser rash which gives a ‘flushed’ appearance on the face.

– The rash is seen in more than 50% of the patients with symptoms, within the first or second day. The appearance of flushed skin – it is a rose-red appearance.

– The subsequent rashes which arise during the lateral course of illness are like measles, it looks slightly funny, it is slightly raised and round.

There are three types of rashes that appear on a person’s body during dengue.
These types are as follows:

● Petechial rash – This gives rise to red spots all over the body of the individual, excluding face. It is usually found on the limbs and is as a result of bleeding under the skin surface.

● Bright red rash – This gives rise to redness on the skin surface. This redness may or may not cover the entire body.

● Lesions – This rash may present as flat or raised red lesions on the skin. This appears as a far more obvious rash than the other two.

How to fight the agitation?

The rashes are very itchy causing irritation and agitation and the areas of skin affected by the rash can peel off.

• There is no specific treatment for these rashes but skin lotions such can be helpful to soothe the skin and offer relief of the itching.

• At the stage when the skin begins to peel and is no longer red or sore the application of a simple non-perfumed moisturizer will help in getting back the skin to its normal form.

Dengue does cause skin agitation but when handled with care, these skin problems can wear off with the disease. Causing no permanent, long-term scarring, or residual de-pigmentation of the skin.