If prescribed dose of antibiotics is followed regularly, the cure is possible, however, skin damage caused due to lesions remain irreversible. The patient is subjected to an antibiotic treatment of drugs like penicillin, tetracycline, azithromycin and chloramphenicol. However, many patients get treated successfully before they reach the last stage.Ĭlinical Diagnosis of the infection is usually done through a blood sample showing bacterial infection or through diagnosing the scrapings of the lesion. The last stage of the disease is characterised by pigment changes in the skin including a combination of hyperpigmentation and depigmentation causing permanent discoloration. Sometimes the disease spreads to eyes causing eyelid deformities. Within three to nine months, these thick flat lesions called pintados spread all over the body. Other lesions may start to form surrounding the primary lesion usually in exposed surface of arms and legs. The bacterium enters the skin through a cut, scratch or a lesion and causes a red scaly bump called the primary lesion. Recent reports suggest the occurrence of disease in the Philippines and some areas of the pacific region. Pinta is classified under a treponemal disease because it is contagious and is caused by treponemes, a genus of spiral-shaped bacteria.
The word ‘Pinta’ is a Spanish word which means ‘painted’. It affects mostly the exposed areas of the skin including the arms, legs and face. The disease sets in within an incubation period of two to three weeks. About One million of cases with Pinta were reported in Central and South America in the year 1950. The disease is endemic to Mexico, Central America and South America. It is usually acquired during childhood and contracted through the skin to skin contact with an infected person. The same treatment should be administered to all symptomatic and asymptomatic contacts and to all latent cases (asymptomatic individuals with positive serologic test for syphilis) in endemic zones.Pinta is a skin disease caused by a bacterial infection. Syphilis serology will remain positive despite clinical cure.It may be ineffective for late stage infections. Antibiotic treatment will cure early stage cases and may relieve the pain of osteitis.Endemic treponemal diseases. Transactions of The Royal Society of Tropical Medicine and Hygiene, Volume 108, Issue 10, 1 October 2014, Pages 601–607.Ĭhildren under 10 years: 1.2 MIU single doseĬhildren 10 years and over and adults: 2.4 MIU single dose Pinta and bejelĭoxycycline PO (except in children under 8 years and pregnant or lactating women )Ĭhildren 8 years and over: 50 mg 2 times daily for 14 days Michael Marks, Anthony W Solomon, David C Mabey. Oriol Mitjà, David Mabey. Yaws, bejel, and pinta (last updated. May 07, 2018). UpToDate .
2 g)īenzathine benzylpenicillin IM Citation 2. Reprinted with changes, 2014.Ĭhildren and adults: 30 mg/kg single dose (max. World Health Organization (2012). Yaws: recognition booklet for communities.
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