The document summarizes the pathophysiology of dengue fever. It involves the bite of the Aedes Aegypti mosquito, which transmits the dengue virus and allows it to penetrate the skin. The virus then infects and replicates inside Langerhans cells in the skin. Infected Langerhans cells travel to lymph nodes and alert the immune system. This leads to viremia as the virus spreads through the bloodstream. The immune response is activated, causing the release of pyrogens that trigger fever through the hypothalamus. It also causes an increase in blood pressure in vessels, resulting in the characteristic rash of dengue fever.