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A 43-year-old woman presented with facial hyperpigmentation for the past 1 week. She had been hospitalised a month back with high-grade fever, headache, severe arthralgia and generalised morbiliform rash; IgM antibody test for chikungunya virus by ELISA was found positive. Following subsidence of fever, pigmentation appeared on the nose which progressively darkened over the next few days. There was no history of any preceding local dermatoses or relevant drug intake. Examination revealed slightly scaly, hyperpigmented freckle-like macules and patches distributed over the tip, ala …
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Contributors AS contributed to conception, initial drafting of manuscript, critical revision of content and final approval of manuscript. DBB, AP, SD and SKB contributed to conception, critical revision of content and final approval of manuscript. All authors are in agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.
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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