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Secondary mucocutaneous papillomata due to yaws infection

This 10-year-old Ghanaian boy exhibited secondary mucocutaneous papillomata, which had been due to yaws infection (frambesia tropica) caused by the spirochete Treponema pallidum subspecies pertenue. The lesions were evident at the corners of his mouth and chin. The Venereal Disease Research Laboratory (VDRL) test produced a positive result of 1:128 and was accompanied by the fluorescent treponemal antibody absorption (FTA-ABS) and microhemagglutination assay (MHA-TP) tests, which were both reactive, or positive. (Source: Photography by Dr. Peter Perine, Centers for Disease Control and Prevention, 1979. Public Health Image Library ID# 16903, Centers for Disease Control and Prevention, Atlanta, Georgia. Public domain.)

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