“…Potential ascertainment bias may have occurred because only published cases were included in this review. However, considering that previous reports suggest that only 20% of individuals experience symptoms during Zika virus infection (maculopapular rash, arthralgia, malaise, headache, fever, conjunctivitis), the report by Andersen et al . of 91.3% in 264 patients and this report of 83% in 841 patients suggest that skin involvement might be more common in Zika patients presenting for healthcare than previously reported.…”