Annual medical and sanitary report / Tanganyika Territory.

  • Tanganyika. Medical Department
Date:
[1926]
Catalogue details

Licence: Public Domain Mark

Credit: Annual medical and sanitary report / Tanganyika Territory. Source: Wellcome Collection.

    133/168 (page 123)
    Ganglion, 14. Left Wrist 8 Right „ . 7 Left Knee 1 Right „ . 2 (4 patients had 2) Moth-eaten Soles, 52. Care is needed in discriminating between the moth-eaten appearance of the sole of the foot due to yaws and a similar appearance due to other conditions. Severe jiggers with secondary infection may produce a moth-eaten appearance of the heels and ball of the feet, while many natives develop a cracked condition of the heel due to trauma in walking. The moth-eaten sole due to yaws, however, is distinctive—an irregular, patchy destruction of the epidermis, which, due to access of secondary infection, may invade the deeper layers, and become very painful. Sabre-blade Deformity. I have not included any cases in which this condition was seen under yaws, preferring to class them as syphilis, though admitting the possibility of it occurring in yaws. Nodular Cutaneous Frambceside, 100. Right leg .. 15 Left leg .. 17 „ thigh 5 y y thigh 9 ,, ankle 6 y y ankle 3 ,, arm 8 y y arm . . 12 ,, foot 10 y y foot . . 11 ,, elbow 4 yy elbow 7 ,, wrist 4 y y wrist . . 5 ,, knee 6 yy knee . . 6 ,, hand 3 yy hand . . 2 61 72 Shoulders . . .. 6 Buttocks .. .. 21 Chest 3 Neck 1 Face 4 Scalp . . 5 Back . . . . . . 3 Summary. Right side 61. Left side 72. Upper extremity Lower ,, Thorax and Abdomen Head and Neck 45 88 33 10 (Note.—Compare with Ulceration, of which the nodular cutaneous frambceside is the antecedent condition. The order of distribution as to regions of the body is the same, but in Ulceration the proportion on the lower, extremity is much higher. This may be due to the greater liability to trauma as compared with other regions of the body.) Classification of Yaws Cases Treated at Kigoma Hospital during 1926. Stage. Percentage of cases to total cases. Average age in years. Primary .. 1-9 9-0 Primary and Secondary . . 14-2 163 Secondary.. 10-4 20‘0 Tertiary yr6 33'2 Gongosa .. i'9 44'°