Contagious disease
1) Rothschild: Treponemal disease :
1) stated that treponemal diseae originated in africa as yawn and then it spread to europe and asia.
Treponematoses
1) the first to be cured
treponematoses: geographic distribution
yaws
history of treponema
The Treponemal disease
- “ unitarian theory”
geographic distribution of treponematoses
1) yaws
- old world tropics
2) endemic syphilis
- old world, warm temperate zones
3) pinta
- new world tropics
4) Veneral syphilis
- everywhere
theories of the origin of syphilis
Pre-Columbian Theory - the disease first emerged in Europe long before Columbus
Columbian Theory – the disease was long present in New World only, and was brought to Europe by Columbus - but, pandemic ?
Rothschild: T. pallidum first appeared in E. Africa 1.5 ya and spread into Europe and Asia; venereal syphilis first appeared in New World c. 2,000 ya., but pandemic ?
veneral disease
- first appeared in c. 100 in the american southwest `
world history of treponematoses
progress of disease
1) treponeme first enters blood vessels through cut or abrasion
2) blood vessel dies
3) surrounding tissue dies ( necrosis)
4) decaying tissues produce ( toxins)
5) toxins destroy sking and bone = ( caries sicca gumma)
6) regeneration ( in some areas)
osseotype
skeletal manifestation of diseaase
veneral syphilis
1) caries sicca [gumma, pl. gummata]
2) periostitis
3) osteomyelitis
4) dactylitis
congenital syphilis
1) Hutchinsons incisors
2) mulberry molars
3) saddle- nose