What type of bleeding is associated with the febrile phase of dengue?

In the febrile phase of dengue, the characteristic bleeding that commonly occurs is mucosal bleeding and petechiae. This phase is marked by high fever, and as the disease progresses, patients may experience bleeding tendencies due to a combination of factors including platelet dysfunction and vascular permeability.

Mucosal bleeding can manifest as nosebleeds, gum bleeding, or skin rashes, while petechiae are small, pinpoint-sized red or purple spots that appear due to bleeding under the skin. These symptoms are indicative of the body's response to the dengue virus and are often observed in patients during this initial stage of the disease.

Understanding this aspect of dengue is crucial, as it helps healthcare providers monitor symptoms and anticipate potential complications, particularly in the transition to the critical phase of the illness. Mucosal bleeding and petechiae serve as important clinical indicators during evaluation and management of dengue patients.