title: [A woman in her thirties with pain in her fingers and toes].
abstract: Hand pain is a relatively common complaint, and careful anamnesis and clinical examination may reveal its aetiology. Multiple joint involvement suggests either osteoarthritis or inflammatory arthritis. In the returning traveller, a more exotic explanation might be the case. A 31 year old woman was referred to our outpatient clinic for evaluation due to peripheral joint arthralgia. The symptoms started six months earlier, on the same day she returned from a three-week holiday in India. There were no signs of inflammatory arthritis or osteoarthritis. Blood tests were normal. Chikungunya virus serology was positive. The patient received symptomatic treatment with nonsteroid anti-inflammatory drugs and improved over a period of months. We describe the first case of Chikungunya fever diagnosed in our hospital.
authors.affiliation: Medisinsk avdeling, Haukeland universitetssykehus, Norway. oeystein.alexander.power@helse-bergen.no
authors.forename: Øystein Alexander
authors.initials: ØA
authors.lastname: Power
authors.forename: Johan Gorgas
authors.initials: JG
authors.lastname: Brun
authors.forename: Bjørn
authors.initials: B
authors.lastname: Blomberg
mesh_terms: D000328:Adult; D000330:Aedes / Q000821:virology; D018354:Alphavirus Infections / Q000150:complications / Q000175:diagnosis* / Q000188:drug therapy; D000818:Animals; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D018771:Arthralgia / Q000821:virology*; D065632:Chikungunya Fever; D002646:Chikungunya virus / Q000302:isolation & purification*; D003937:Diagnosis, Differential; D005260:Female; D005384:Finger Joint / Q000473:pathology; D006801:Humans; D007194:India; D014033:Toe Joint / Q000473:pathology; D014195:Travel; D016896:Treatment Outcome
chemical_list: D000894:Anti-Inflammatory Agents, Non-Steroidal