and extremities. Rarely, the pigmentation was preceded by transient erythema of the nose and a maculopapular eruption. In summary, while the clinical features of chikungunya and dengue in an infant are similar, the diagnosis ofchikungunyamaysuggestitselfifacharacteristicfreckle-likefacialrashispresent.Thisshouldbeconfirmedby RT-PCRinthefirstweekofillnessastheserologicaltestsareoftennegative.