What is the most important clinical feature that distinguishes dengue from chikungunya in a returned traveller presenting with fever and musculoskelet...

Question

What is the most important clinical feature that distinguishes dengue from chikungunya in a returned traveller presenting with fever and musculoskeletal symptoms?

Accepted Answer

Dengue causes prominent thrombocytopaenia and retro-orbital pain, while chikungunya causes debilitating polyarthralgia/arthritis (especially small joints of hands and feet) that may persist for months

Answer

Both diseases are clinically identical and cannot be distinguished

Answer

Dengue always causes haemorrhage; chikungunya never does

Answer

Chikungunya causes jaundice; dengue does not

Answer

Dengue is always mild; chikungunya is always severe

uk-dtmh MCQ (SBA): Dengue vs Chikungunya Clinical Distinction

What is the most important clinical feature that distinguishes dengue from chikungunya in a returned traveller presenting with fever and musculoskeletal symptoms?