Pathogen

• Treponema pallidum spp. endemicum

Epidemiology

• Arid countries of eastern Med and West Africa

• Spread by direct contact (non-venereal)

Clinical

• Skin: nodules, ulcers

• Periostitis

• Gummas

Diagnosis

• PCR

• Serology (exposure)

Treatment

• Penicillin etc.