Abstract
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.
Publication types
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Case Reports
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Evaluation Study
MeSH terms
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Adult
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Alphavirus Infections / complications*
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Alphavirus Infections / economics*
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Alphavirus Infections / epidemiology
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Chikungunya Fever
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Chronic Disease
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Cost of Illness
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Disease Outbreaks / economics
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Female
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Humans
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Insurance Coverage / organization & administration*
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Insurance Coverage / statistics & numerical data
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Male
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Middle Aged
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Occupational Diseases / economics
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Occupational Diseases / etiology
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Reunion / epidemiology
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Rheumatic Diseases / economics*
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Rheumatic Diseases / epidemiology
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Rheumatic Diseases / etiology*