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Secondary yaws

Bouba secundária

Definition

Secondary lesions, which are the result of lymphatic and haematogenous spread of organisms, appear from a few weeks to 2 years after the primary lesion. Arthralgias and malaise are probably the most common, albeit non-specific symptoms of secondary yaws; up to 75% of children under 15 years with yaws presented with arthralgia in Papua New Guinea. Secondary skin lesions consist of multiple smaller excrescences, often resembling the initial papule, that may ulcerate. A generalized eruption may cover a region of the body or the whole body. The lesions may be irregular, crescentic or discoid in shape, and on moist areas may mimic the condylomata lata of venereal syphilis. Hyperkeratotic plaques may form on the palms and soles, fissuring into painful secondary infections responsible for a characteristic ‘crablike’ gait.

Index Terms

Secondary yawsGhoul handWorm-eaten solesOsteoperiostitis due to secondary yawsCutaneous early yawsplantar or palmar papilloma of yawsCutaneous yaws, less than five years after infectionframboeside of early yawsmaculopapular yawshyperkeratotic palmoplantar yawsmicropapular early yawsmacular early yawspapular yawsearly yaws cutaneous macularearly yaws cutaneous maculopapularearly yaws cutaneous, micropapularearly yaws cutaneous papularCrab yawsMultiple papillomatabutter yawsframboesiform syphilidmultiple yaws papillomataPianomaMultiple papillomata of yawsHyperkeratosis due to yawspalmar hyperkeratosis of yawsplantar hyperkeratosis of yawsJuxta-articular nodules of yawsMucosal yaws

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