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Dengue infection can present with varying clinical manifestations, which may not conform to the definitions of the World Health Organization (WHO) classification. Flushing, puffiness and cyanosis are some of the features, which are not included in the WHO criteria. Bleeding and thrombocytopenia are conspicuously absent in some children with "true" dengue hemorrhagic fever. Revised classification based on dengue control study, in comparison with WHO classification is definitely exclusive at detecting severe dengue infection. In fact flushing, puffiness and cyanosis are not included in the past or recent WHO classification criteria of dengue fever. It is practically feasible and facilitates real-time case management. All the classifications are only the guidelines and a good clinical acumen is an absolute necessity in diagnosing the criticality of the patient and prioritizing them for specific treatment.