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Friday, 24 June 2011

YAWS


Yaws, like syphilis, is caused by a treponema. The primary
lesion of yaws (mother yaws) is a wet, easily bleeding,
raspberry-like papule or nodule, which disappears after a few
weeks leaving an atrophic scar. When the primary infection is
not treated secondary lesions (daughter yaws) may appear as
generalised nodules, ulcerations and condylomata.
Note: Reactivity to VDRL and TPHA is the same as for syphilis.
Management of yaws
- Benzathine penicillin 2,4 million units per IM injection, repeat after two
weeks. For children benzathine penicillin 1,2 million units per IM injection,
repeat after two weeks.
- In case of penicillin-allergy: Erythromycin 500 mg 4 times daily for
2 weeks.

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