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It is re-emerging infectious disease caused by a non-venereal treponemal infection. The major route of infection is through person to person contact.

Cause

• Treponema pertenue

Signs and symptoms

• It affects the skin, the palms, and soles of feet
• The lesions are usually rising above the skin surface as papules and if untreated may lead to ulcers

Non-pharmacological treatment

• Personal hygiene by using clean water for bathing and laundering of cloths is highly recommended

Pharmacological treatment

Azithromycin oral

Adult and child

30 mg/kg single dose (max. 2 g)

OR

Benzathine benzylpenicillin IM

Adult and child 10 years and above:

2.4 MIU single dose

Child

< 10 years: 1.2 MIU single dose