182.4 📌 章末速蚘

  • Yaws (T. pallidum pertenue) — 熱垶, kids, mother yaw papilloma, palmoplantar, gangosa late
  • Bejel (T. pallidum endemicum) — 也燥 W Africa/Mid East, oral, palate destruction
  • Pinta (T. carateum) — C/S America, skin depigmentation late
  • Non-sexual, no CV/neuro, kids䞻芁
  • Same serology as syphilis — VDRL/RPR + FTA-ABS +
  • Treatment: azithromycin 30 mg/kg PO × 1 (preferred) or PCN G IM × 1
  • WHO yaws eradication 2030 — mass azithro TCT/TTT
  • Azithro-R yaws emerging (PNG 2018) — surveillance