Dermato-Epidemiological Characteristics of Skin Due To Dengue In Children

Abstract

Introduction: Dengue is an arboviruses responsible for various skin manifestations reaching a 20 and 65% frequency.

Objective: To characterize from the dermato-epidemiological point of view the skin manifestations caused by dengue in children.

Methods: A descriptive, cross-sectional, observational study was carried out at Dr. Eduardo Agramonte Piña Provincial Teaching Pediatric Hospital in Camagüey, Cuba, from January to March 2022. The universe consisted of 150 children with confirmed diagnosis of dengue, and who showed skin manifestations. The variables studied included age group, sex, skin color, type of manifestations, days of appearance of these in relation to the onset of fever, location, and resolution time. Data were expressed in numbers and percentages.

Results: There was predominance of the age groups from 0 to 4 and from 5 to 9 years, both with 43 patients (28.7%), while the most representative results were the male sex (51.4%), white skinned color (70.7%), and more frequently macular rash (54.7%) and morbilliform rash (28.7%). The lesions emerged on the third day of fever in 39.3% of the cases, and the entire location stood out (28.7%). The symptoms resolved beginning with the macular rash, then the morbilliform rash, and then the rest.

Conclusions: The most common cutaneous manifestations were macular rash and morbilliform rash, mostly in white-skinned patients, which appeared between the second and fourth day of fever, and they were the first to disappear.