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Papillomatous lesions on the chin due to yaws infection

This image depicts a close inferoanterior view of a patient’s chin, showing papillomatous lesions that had developed in this 30-year-old woman after she breastfed her 13-month-old infant. The infection was diagnosed as yaws. It began as a lesion on her left breast and subsequently spread to her back. The Venereal Disease Research Laboratory test (VDRL) test produced a positive result of 1:8 and was accompanied by the microhemagglutination assay (MHA-TP) test, which was also reactive, or positive. Treatment for this patient consisted of an intramuscular injection of 2.4 mega (million) units of benzathine benzylpenicillin (benzathine penicillin G). (Source: Photography by Dr. Peter Perine, Centers for Disease Control and Prevention, 1979. Public Health Image Library ID# 3824, Centers for Disease Control and Prevention, Atlanta, Georgia. Public domain.)

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