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Dengue Hemorrhagic Fever Complicated with Acute Idiopathic Scrotal Edema and Polyneuropathy

We report a case of an adult with dengue hemorrhagic fever who developed acute idiopathic scrotal edema and glove-and-stocking polyneuropathy. A 54-year-old man who had fever, chills, bone pain, and skin rash for 4 days was admitted. We diagnosed dengue hemorrhagic fever because of fever, gum bleeding, thrombocytopenia, and hemoconcentration, and confirmed the diagnosis by serology. The patient had scrotal and penile edema and distal limb numbness with a glove-and-stocking distribution. After supportive care, the scrotal edema and other symptoms subsided. Patients with dengue hemorrhagic fever may develop scrotal edema caused by plasma leakage.

Received August 29, 2007. Accepted for publication October 10, 2007.

^* Address correspondence to Jih-Jin Tsai, No. 100, Tzyou 1st Road, 807 Kaohsiung City, Taiwan. E-mail: jijits{at}cc.kmu.edu.tw

Authors’ addresses: Tun-Chieh Chen, Po-Liang Lu, Yen-Hsu Chen, Jih-Jin Tsai, and Tyen-Po Chen, No. 100, Tzyou 1st Road, 807 Kaohsiung City, Taiwan, Telephone: 886-7-3121101, ext. 5676, Fax: 886-7-3228547, E-mails: idchen.tunchieh{at}gmail.com, d830166{at}cc.kmu.edu.tw, d810070{at}cc.kmu.edu.tw, jijits{at}cc.kmu.edu.tw, 880305{at}ms.kmuh.org.tw.