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Letters |7 April 2015

Chikungunya

Tariq Al-Araimi, MD; Shikha Mittoo, MD, MHS

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TO THE EDITOR:
We read Hamer and Chen's article (1) with great interest. However, chronic chikungunya arthritis can persist for months after infection (2, 3). Among 47 travelers returning from the Indian Ocean islands, including Comoros, Mayotte, Mauritius, the Seychelles, and Réunion Island, followed for 14 months, late (developing after the 10th day) arthropathy—defined by the presence of at least 1 of the following symptoms: symmetric oligo- or polyarthritis accompanied by morning stiffness, nonspecific edema or tenosynovitis, or worsening of mechanical pain in a preexisting injured joint or bone—was identified in 38 persons ( 2)....
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Al-Araimi T, Mittoo S. Chikungunya. Ann Intern Med. 2015;162:531–532. doi: 10.7326/L15-5076-2

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Published: Ann Intern Med. 2015;162(7):531-532.

DOI: 10.7326/L15-5076-2

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