Jornal Vascular Brasileiro
Jornal Vascular Brasileiro
Letter to the Editor

Chikungunya fever and lymphedema of limbs

Febre chikungunya e linfedema de membros

Beuy Joob; Viroj Wiwanitkit

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Dear Editor,

We read the publication on “Secondary lymphedema of limbs and chikungunya fever (CF)” with great interest.1 Marques et al. described “the case of a patient who developed lymphedema of upper and lower limbs after an episode of CF.1” Marques et al. also noted that “the CF outbreak that occurred during 2015 and 2016 resulted in the first cases described in the medical literature of acute and chronic vascular complications secondary to infection by this arbovirus.1” In fact, the vascular defect due to CF is rarely mentioned in the literature. Nevertheless, this is not the first report regarding CF and lymphedema. Lymphedema of the limbs in CF is also described in many previous reports from India.2-4


1 Marques MA, Milhomens ALM, Vieira JM, Cardoso FR, Guedes HJ No. Secondary lymphedema of limbs and chikungunya fever. J Vasc Bras. 2019;18:e20190015. PMid:31320883.

2 Inamadar AC, Palit A, Sampagavi VV, Raghunath S, Deshmukh NS. Cutaneous manifestations of chikungunya fever: observations made during a recent outbreak in south India. Int J Dermatol. 2008;47(2):154-9. PMid:18211486.

3 Bandyopadhyay D, Ghosh SK. Mucocutaneous manifestations of Chikungunya fever. Indian J Dermatol. 2010;55(1):64-7. PMid:20418982.

4 Rampal, Sharda M, Meena H. Neurological complications in Chikungunya fever. J Assoc Physicians India. 2007;55:765-9. PMid:18290551.

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