[Administrative issues linked to health insurance coverage of chronic post-chikungunya rheumatism].
The chikungunya outbreak on Reunion Island in 2005-2006 was followed by a high incidence of persistent arthralgia. A small group of patients developed chronic, sometimes destructive, post-chikungunya inflammatory rheumatism presenting as rheumatoid polyarthritis or spondylarthritis that required disease-modifying antirheumatic drugs such as methotrexate. We describe two patients under this treatment confronted with financial health insurance issues due to the lack of administrative recognition of post-chikungunya rheumatism as a long-term affliction or an occupational disease.
Service de pathologie infectieuse et tropicale, Hôpital d'instruction des armées Laveran. simon-f@wanadoo.fr
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D000328:Adult; D018354:Alphavirus Infections / Q000150:complications* / Q000191:economics* / Q000453:epidemiology; D065632:Chikungunya Fever; D002908:Chronic Disease; D017281:Cost of Illness; D004196:Disease Outbreaks / Q000191:economics; D005260:Female; D006801:Humans; D019458:Insurance Coverage / Q000458:organization & administration* / Q000706:statistics & numerical data; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000191:economics / Q000209:etiology; D017508:Reunion / Q000453:epidemiology; D012216:Rheumatic Diseases / Q000191:economics* / Q000453:epidemiology / Q000209:etiology*