Koff A B, Rosen T
Department of Dermatology, Baylor College of Medicine, Houston, TX 77030.
J Am Acad Dermatol. 1993 Oct;29(4):519-35; quiz 536-8. doi: 10.1016/0190-9622(93)70217-h.
The nonvenereal treponematoses--yaws, endemic syphilis, and pinta--constitute a major health concern for many third world countries. These diseases are caused by an organism that is morphologically and antigenically identical to the causative agent of venereal syphilis, Treponema pallidum. Nonvenereal treponematoses differ significantly in their modes of transmission, epidemiology, and clinical presentation from venereal syphilis. Like venereal syphilis, they have a chronic relapsing course and have prominent cutaneous manifestations. Recently, several cases of imported yaws and endemic syphilis have been described in Europe. With the escalating U.S. military presence in many remote areas of the world and ever-increasing world-wide travel, the diagnosis of the nonvenereal treponematoses must be considered in appropriate clinical and historical situations.
非性病性螺旋体病——雅司病、地方性梅毒和品他病——是许多第三世界国家主要的健康问题。这些疾病由一种在形态和抗原性上与性病性梅毒的病原体梅毒螺旋体相同的微生物引起。非性病性螺旋体病在传播方式、流行病学及临床表现方面与性病性梅毒有显著差异。与性病性梅毒一样，它们病程呈慢性复发，并有明显的皮肤表现。最近，欧洲已报道了数例输入性雅司病和地方性梅毒病例。随着美国在世界许多偏远地区军事存在的增加以及全球旅行的日益频繁，在适当的临床和病史情况下必须考虑非性病性螺旋体病的诊断。
