National Organization for Rare Disorders, Inc.
It is possible that the main title of the report Yaws is not the name you expected.
Related Disorders List
Information on the following diseases can be found in the Related Disorders section of this report:
- Syphilis, Acquired
Yaws is an infectious tropical disease caused by the spirochete (spiral shaped) bacterium known as Treponema pertenue. The disease presents in three stages of which the first and second are easily treated. The third, however, may involve complex changes to the bones in many parts of the body. The first stage is characterized by the appearance of small, painless bumps on the skin that group together and grow until they resemble a strawberry. The skin may break open, forming an ulcer. The second stage (usually starting several weeks or months after the first) presents with a crispy, crunchy rash that may cover arms, legs, buttocks and/or face. If the bottoms of the feet are involved, walking is painful and the stage is known as "crab yaws." Stage 3 yaws involves the long bones, joints, and/or skin. Yaws is very common in tropical areas of the world but it is not known in the United States. It is not a sexually transmitted disease. It occurs in children younger than 15 years of age.
Stage 1 yaws typically occurs in early childhood, with peak incidence at about six years of age. A single itchy, strawberry-like growth appears on the skin over which a thin yellow crust forms (papillomatous lesion). This growth, the "mother yaw", appears at the spot where the organism entered the body (inoculation site), typically on the leg or foot.
Stage 2 yaws typically follows several weeks or months after the initial symptoms. Similar skin sores appear on the face, legs, arms, and/or around the rectum and genitals. These sores usually heal slowly and may recur. Lesions on the bottom of the feet may produce painful cracks and ulcerations (keratosis), resulting in an awkward "crab-like" walk or "crab yaws."
At this stage, swollen glands (swollen lymph nodes) are not uncommon and the rash may develop a brown crust.
The symptoms of stage 3 yaws occur in only about 10% of the people who are infected and may follow a dormant period of several years. Painful ulcers or nodules may develop on the skin (cutaneous) and cause facial disfigurement. Painful, granular sores (gummatous lesions) may also develop on the bones, especially the long bones of the legs (tibia). Painful skin and bone nodules may impair joint function and mobility.
Stage 3 yaws may also produce different and distinct syndromes. One, known as goundou syndrome, is characterized by inflammation and swelling of the tissues surrounding the nose (paranasal swelling), as well as overgrowth of the bones in the same region of the face (hypertrophic osteitis). Another, known as gangosa syndrome (also known as rhinopharyngitis mutilans), is characterized by degenerative changes of the nose, throat (pharynx), and the roof of the mouth (hard palate).
Yaws is an infectious disease caused by a spiral-shaped bacterium (spirochete) known as Treponema pertenue. Yaws is usually transmitted by direct contact with the infected skin sores of affected individuals. In some cases, yaws may be transmitted through the bite of an infected insect.
Yaws is a common infectious disease among children living in the tropical areas of Africa, South and Central America, the West Indies, and the Far East. It is not known in the United States. Yaws affects males and females in equal numbers and is most common in children between the ages of six and 10.
The prevalence of yaws declined greatly following a mass treatment campaign with penicillin by the World Health Organization (WHO) in the 1950s and '60s. However, there has been a resurgence of yaws in certain countries in Africa and Southeast Asia.
Symptoms of the following disorders can be similar to those of Yaws. Comparisons may be useful for a differential diagnosis:
Bejel is an infectious disease which is rare in the United States but common in certain parts of the world. It is characterized by lesions of the skin and bones and is caused by a bacteria known as Treponema pallidum II. The infection is very similar to syphilis but is not sexually transmitted. Children with Bejel have patchy ulcerations on mucous membranes particularly in or near the mouth. (For more information on this disorder, choose "Bejel" as your search term in the Rare Disease Database.)
Acquired Syphilis is a chronic infectious disease caused by the bacteria Treponema pallidum. It is transmitted by direct contact with an infected individual, usually through sexual intercourse. When left untreated, the symptoms of Syphilis progress (i.e., primary, secondary, and latent stages). Eventually any tissue or organ in the body may be affected. Early symptoms include lesions (chancres) of the skin, anus, vagina, or the moist surfaces of the mouth. The symptoms may remain dormant for years. (For more information on this disorder, choose "Syphilis" as your search term in the Rare Disease Database.)
Pinta is a rare infectious disease characterized by skin rash and discoloration. It is caused by the spiral-shaped bacteria Treponema carateum. Pimple-like bumps appear on the skin; they are small, reddish, and patchy. These lesions change in color and eventually lose all color (depigmentation). Pinta may be acquired by direct nonsexual contact. (For more information on this disorder, choose "Pinta" as your search term in the Rare Disease Database.)
Leprosy is a progressive, chronic infectious disease caused by the bacteria, Mycobacterium leprae. This disease affects the nerves that are located outside the central nervous system (peripheral nerves), and the skin, mucous membranes, and eyes. In severe cases of Leprosy, loss of sensation, disfigurement, and/or blindness may occur. Symptoms may include burning or tingling sensations (paresthesias), a lack of sensation or feeling in the affected areas (anesthesia), weakness, paralysis, and/or the loss of muscle tissue (atrophy). Skin lesions include flat, spotty discolorations (macules), raised areas of red skin (papules), small solid masses (nodules), and raised discolorations. (For more information on this disorder, choose "Leprosy" as your search term in the Rare Disease Database.)
The diagnosis of stage 1 and stage 2 yaws is made by microscopic examination of tissue samples (darkfield examination) from the skin lesions of affected individuals. Stage 3 yaws may be diagnosed by specialized blood tests (i.e., VDRL and treponemal antibodies).
Stage 1 and 2 yaws is treated with antibiotics, especially with benzathine penicillin G. A single large dose of these medications usually heals the skin lesions and eliminates the organism. These antibiotic drugs may also be used to prevent this disease in family members and others who are in frequent contact with affected individuals. At the present time, there is no treatment for the destructive bone lesions or scars associated with stage 3 yaws.
Research on tropical diseases such as yaws is ongoing. For more information about these disorders, contact the World Health Organization (WHO) or Centers for Disease Control and Prevention (CDC) listed in the Resources section of this report.
Information on current clinical trials is posted on the Internet at www.clinicaltrials.gov. All studies receiving U.S. Government funding, and some supported by private industry, are posted on this government web site.
For information about clinical trials being conducted at the NIH Clinical Center in Bethesda, MD, contact the NIH Patient Recruitment Office:
Tollfree: (800) 411-1222
TTY: (866) 411-1010
For information about clinical trials sponsored by private sources, contact:
Perine PL. Endemic Treponematoses. In: Fauci AS, Braunwald E, Isselbacher KJ, et al. Eds. Harrison's Principles of Internal Medicine. 14th ed. McGraw-Hill Companies. New York, NY; 1998:1033-36.
Beers MH, Berkow R., eds. The Merck Manual, 17th ed. Whitehouse Station, NJ: Merck Research Laboratories; 1999:1185-86.
Berkow R., ed. The Merck Manual-Home Edition.2nd ed. Whitehouse Station, NJ: Merck Research Laboratories; 2003:1099.
Azimi P. Spirochetal Infections; Non Venereal Syphilitic Diseases. In: Behrman RE, Kliegman RM, Arvin AM. Eds. Nelson Textbook of Pediatrics. 15th ed. W.B. Saunder Company. Philadelphia, PA; 1996:856-57.
Antal GM, Lukehart SA, Meheus AZ. The endemic treponematoses. Microbes Infect. 2002;4:83-94.
Arteaga C, Gueguen GE, Richez P, et al. [Osteoarticular involvement in parasitic diseases: bone treponematosis]. J Radiol. 1998;79:1363-66.
Anselmi M, Moreira JM, Caicedo C, et al. Community participation eliminates yaws in Ecuador. Trop Med Int Health. 2003;8:634-38.
Scolnik D, Aronson L, Lovinsky R, et al. Efficacy of a targeted oral penicillin-based yaws control program amoung children living in rural South America. Clin Infect Dis. 2003;36:1232-38.
Wicher K, Wicher V, Abbruscato F, et al. Treponema pallidum subsp. pertenue displays pathogenic properties different from those of T. pallidum subsp. pallidum. Infect Immun. 2000;68:3219-25.
Koff AB, Rosen T. Nonveneral treponematoses: yaws, endemic syphilis, and pinta. J Am Acad Derm. 1993;29:4:83-94.
FROM THE INTERNET
Klein NC. Yaws. emedicine. Last updated: June 18, 2001. 11p.
Levine CL. Yaws. emedicine. Last updated: November 1, 2001. 10p.
Kotton C. Yaws. MEDLINEplus. Medical Encyclopedia. Update Date: 2/17/2003
Yaws. Aetna IntelliHealth. Last Updated: February 28, 2002. 3pp.
Hicks R. Yaws: Catching a raspberry. BBC1 Health. nd. 2pp.
Yaws. The 1911 Edition Encyclopedia. nd. 4pp.
Carson-DeWitt R. Yaws. healhAtoZ. Gale Encyclopedia of Medicine Ó2002. 3pp.
Centers for Disease Control and Prevention
1600 Clifton Road NE
Atlanta, GA 30333
NIH/National Institute of Allergy and Infectious Diseases
NIAID Office of Communications and Government Relations
5601 Fishers Lane, MSC 9806
Bethesda, MD 20892-9806
World Health Organization (WHO)
Avenue Appia 20
Geneva 27, 1211
Genetic and Rare Diseases (GARD) Information Center
PO Box 8126
Gaithersburg, MD 20898-8126
For a Complete Report
This is an abstract of a report from the National Organization for Rare Disorders, Inc.® (NORD). Cigna members can access the complete report by logging into myCigna.com. For non-Cigna members, a copy of the complete report can be obtained for a small fee by visiting the NORD website. The complete report contains additional information including symptoms, causes, affected population, related disorders, standard and investigational treatments (if available), and references from medical literature. For a full-text version of this topic, see http://www.rarediseases.org/search/rdblist.html.
The information provided in this report is not intended for diagnostic purposes. It is provided for informational purposes only. NORD recommends that affected individuals seek the advice or counsel of their own personal physicians.
It is possible that the title of this topic is not the name you selected. Please check the Synonyms listing to find the alternate name(s) and Disorder Subdivision(s) covered by this report
This disease entry is based upon medical information available through the date at the end of the topic. Since NORD's resources are limited, it is not possible to keep every entry in the Rare Disease Database completely current and accurate. Please check with the agencies listed in the Resources section for the most current information about this disorder.
For additional information and assistance about rare disorders, please contact the National Organization for Rare Disorders at P.O. Box 1968, Danbury, CT 06813-1968; phone (203) 744-0100; web site www.rarediseases.org or email firstname.lastname@example.org
Last Updated: 4/8/2009
Copyright 1986, 1994, 2003, 2005, 2009 National Organization for Rare Disorders, Inc.
Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated.