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E-CORRESPONDENCE
Year : 2014  |  Volume : 59  |  Issue : 5  |  Page : 529
Incidence of Skin Rash in the New H7N9 Influenza


1 Wiwanitkit House, Bangkhae, Bangkok, Thailand
2 1Hainan Medical University, Hainan, China; University of Nis, Serbia and Joseph Ayobabalola University, Osun State, Nigeria

Date of Web Publication1-Sep-2014

Correspondence Address:
Somsri Wiwanitkit
Wiwanitkit House, Bangkhae, Bangkok, Thailand

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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5154.139899

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How to cite this article:
Wiwanitkit S, Wiwanitkit V. Incidence of Skin Rash in the New H7N9 Influenza. Indian J Dermatol 2014;59:529

How to cite this URL:
Wiwanitkit S, Wiwanitkit V. Incidence of Skin Rash in the New H7N9 Influenza. Indian J Dermatol [serial online] 2014 [cited 2019 Sep 22];59:529. Available from: http://www.e-ijd.org/text.asp?2014/59/5/529/139899


Sir,

The newest emerging zoonosis is the novel H7N9 influenza from several provinces of China. [1] This infection is a cross-species infection, from avian to human. [2],[3] The novel H7N9 influenza is classified as atypical bird flu. The clinical features of novel H7N9 influenza include acute respiratory illness with additional non-respiratory manifestations. Focusing on the dermatological manifestation, it is mentioned as an important clinical presentation in influenza. [4],[5],[6] According to a report by Hope-Simpson et al., about 8% of influenza A virus infections had associations with rash. [5] Major dermatological manifestations of influenza include macular, maculopapular, and petechial rashes. [4],[6] Based on data on the previous atypical bird flu, H5N1 bird flu, the dermatological presentation is absent. [6] The present concern is on the novel H7N9 influenza. Based on available data, the dermatological manifestation is not common. From all 130 documented cases (30 May 2013), there are only two cases with dermatological rashes. [7] The derived incidence is equal to 1.54%.[8]

 
   References Top

1.Dai C, Jiang M. Understanding H7N9 avian flu. BMJ 2013;346:f2755.  Back to cited text no. 1
[PUBMED]    
2.Gao HN, Lu HZ, Cao B, Du B, Shang H, Gan JH, et al. Clinical findings in 111 cases of influenza A (H7N9) virus infection. N Engl J Med 2013;368:2277-85.  Back to cited text no. 2
    
3.Chen Y, Liang W, Yang S, Wu N, Gao H, Sheng J, et al. Human infections with the emerging avian influenza A H7N9 virus from wet market poultry: Clinical analysis and characterisation of viral genome. Lancet 2013;381:1916-25.  Back to cited text no. 3
    
4.Silva ME, Cherry JD, Wilton RJ, Ghafouri NM, Bruckner DA, Miller MJ. Acute fever and petechial rash associated with influenza A virus infection. Clin Infect Dis 1999;29:453-4.  Back to cited text no. 4
    
5.Hope-Simpson RE, Higgins PG. A respiratory virus study in Great Britain: Review and evaluation. Prog Med Virol 1969;11:354-407.  Back to cited text no. 5
    
6.Ryan-Poirier K. Influenza virus infection in children. Adv Pediatr Infect Dis 1995;10:125-56.  Back to cited text no. 6
[PUBMED]    
7.Wiwanitkit V. No dermatological manifestation in reported cases of human H5N1 infection. Iran J Dermatol 2009;12:73.  Back to cited text no. 7
    
8.Han J, Jin M, Zhang P, Liu J, Wang L, Wen D, et al. Epidemiological link between exposure to poultry and all influenza A (H7N9) confirmed cases in Huzhou city, China, March to May 2013. Euro Surveill 2013;18:20481.  Back to cited text no. 8
    



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