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Chikungunya also is more likely to cause high fever, severe arthralgia, arthritis, rash, and lymphopenia than Zika or dengue.
Among the systemic presentations, arthralgia was present in 30 (55.5%) cases, dyspnea on exertion in 30 (55.5%), dysphagia in 28 (51.8%), esophageal reflux in 25 (46.2%), cough in 6 (11.1%) and palpitation in 4 (7.4%) cases.
Most of the initial symptoms, such as the shivering that is caused by fever, recede by day 7, but more than 40% of the patients in an outpatient study done on the island of Reunion reported persistent arthralgia, asthenia, myalgia, or headache (or a combination of 2 or more of the previous) (28).
The most common TRAEs (any grade) >=30% were fatigue, decreased appetite, diarrhea, hypertension, dysphonia, nausea, arthralgia and proteinuria.
Grade 1-2 non-haematological adverse events included myalgia (DTX 44%, nab-PTX 39%), arthralgia (DTX 33%, nab-PTX 33%), and peripheral sensory neuropathy (DTX 56%, nab-PTX 83%).
Snake venom could be a remedy to many diseases, particularly neuralgia, arthralgia, myalgia, myositis, rheumatism, hypertension, and asthma.
Tracey Mills, 53, has stage three brain cancer, a nose tumour, renal failure, arthralgia and hypertension.
Thrombocytopenia, anemia, neutropenia, leukopenia, palpitations, nausea, vomiting, constipation, abdominal pain/distention, mucositis/stomatitis, diarrhea, dry mouth, fatigue/asthenia, decreased appetite, urinary tract infection, myalgia, back pain, arthralgia, headache, dizziness, dysgeusia, insomnia, anxiety, nasopharyngitis, dyspnea, cough, rash, hypertension.
Musculoskeletal (MS) involvement is the most common group of symptoms in patients with SLE (70%-95% over the disease course and up to 60% during disease flares), or even as a first presenting symptom in up to 50% of cases (3-5).Therefore, the clinical picture varies from transient or migratory arthralgia, non-deforming and nonerosive arthritis, and tenosynovitis to Jaccoud's arthropathy, which shows deformities with none or few bone erosions, depending on the imaging technigue used (3, 4).
The first epidemics were described in 1952 in Africa, in the region of Tanzania, where the local population called the affected people as "the one that bends" (in local language "Chikungunya"), (4) due to the severe arthralgia and physical incapacity caused by the infection.
Arthralgia and conjunctival hyperemia were among the other symptoms observed.
Therefore, based on the above findings, while both KKT and KSS are effective for insomnia, vertigo, and palpitation, KSS might be indicated preferably to the patients who have vasomotor symptoms such as hot flash and sweating, or arthralgia and myalgia.
A variety of medications are associated with arthritis and arthralgia and the mechanism is often through exacerbation of an underlying condition such as gout or rheumatoid arthritis.
All patients presented acutely with lesions less than 6 weeks duration, 60% of patients had symptoms of burning and itching in lesions, 30% had pain in lesions, 30% had history of low grade fever, 80% of patients had arthralgia, 65% had gastrointestinal symptoms, 30% had history of sore throat, none had history of significant drug exposure within 6 weeks of onset of lesions [Table 3].
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