Ashish Jacob Mathew|Vinay Goyal|Elizabeth George|Dany Varughese Thekkemuriyil|B. Jayakumar|Arvind Chopra
Rheumatic-musculoskeletal pain and disorders in a naïve group of individuals 15 months following a Chikungunya viral epidemic in south India: a population based observational study
Government Medical College and Hospital|Government Medical College and Hospital|Government Medical College and Hospital|Government Medical College and Hospital|Government Medical College and Hospital
background prospective community data arthropathy following chikungunya chikv selflimiting arboviral infection causing debilitating arthropathy lacking clinical profile chronic rheumaticmusculoskeletal rmsk pain disorders captured inadvertently 15 months following chikv epidemic described materials methods patients rmsk pain following chikv epidemic 2007 identified randomly selected population 5277 age 15 years village south india using validated questionnairebased housetohouse survey typical narration records serology relied upon classify chikv respondents recorded active pain sites human mannequin evaluated rheumatology physicians results total 1396 chikv infected individuals painful mskd identified 437 patients mean age 4837 1362 years 716 women nave rmsk pain prior epidemic studied detail incidence rmsk pain disorders nave group 83 4375277 knee commonest selfreported pain site 833 majority patients 57 postviral nonspecific polyarthralgia soft tissue rheumatism common 277 rheumatoid arthritis seronegative spondyloarthritis observed 6 11 patients respectively conclusions although causal association could established study unravelled wide spectrum unrecognised postchikv chronic rmsk disorders aetiopathogenesis risk factors chronicity need studied