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Dengue rash: white islands in a sea of red
  1. Hiroki Matsuura1,
  2. Masayuki Kishida1,2,
  3. Yumi Nakata1,
  4. Kahori Hirata1,
  5. Erika Sasaki2,
  6. Yoshihiko Kiura1
  1. 1 General Internal Medicine, Okayama City Hospital, Okayama, Japan
  2. 2 Endocrinology, Okayama City Hospital, Okayama, Japan
  1. Correspondence to Dr Hiroki Matsuura, General Internal Medicine, Okayama City Hospital, Okayama 700-0962, Japan; superonewex0506{at}

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A 36-year-old Japanese woman presented to our emergency department with a 2-day history of fever, headache, eye pain, arthralgia and poor appetite after returning from Thailand. She had been sightseeing in Phuket, as island in Thailand. At initial presentation, her body temperature was 38.9°C. Laboratory examination results revealed a slightly elevated C reactive protein level of 0.57 mg/dL (range: 0–10 mg/dL), normal white blood cell count of 4.16 ×10ˆ9/L and normal platelet count of 233 ×10ˆ9/L. The result of the rapid diagnostic kit for the dengue virus (DENV) was positive for DENV non-structural protein-1 antigen. The result …

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  • Contributors HM contributed to write manuscript, discussion and patient care. All coauthors also contributed to discussion and patient care.

  • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

  • Competing interests None declared.

  • Patient consent for publication Obtained.

  • Provenance and peer review Not commissioned; internally peer reviewed.

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