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Yaws
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===Rhinopharyngitis mutilans=== '''Rhinopharyngitis mutilans''',<ref>{{cite journal |last1=L. H. |first1=Bittner |title=Some observations on the tertiary lesions of framboesia tropica, or yaws. |journal=The American Journal of Tropical Medicine and Hygiene |date=1926 |volume=1 |issue=2 |pages=123β130 |doi=10.4269/ajtmh.1926.s1-6.123}}</ref><ref name=IDN>{{cite book |last1=Berger |first1=Stephen |title=Infectious Diseases of Nauru |date=1 February 2015 |publisher=GIDEON Informatics Inc |isbn=9781498805742 |page=320 |url=https://books.google.com/books?id=LNt2BwAAQBAJ&q=%22Rhinopharyngitis+mutilans%22&pg=PA320 |access-date=31 October 2015}}</ref> also known as '''gangosa''', is a destructive [[ulcerative]] condition that usually originates about the [[soft palate]] and spreads into the [[hard palate]], [[pharynx#Nasopharynx|nasopharynx]], and [[human nose|nose]], resulting in mutilating [[cicatrice]]s, and outward to the face, eroding intervening [[bone]], [[cartilage]], and [[soft tissues]]. It occurs in the late stages of yaws, usually 5 to 10 years after the first symptoms of [[infection]]. This is now rare.<ref name=yaws/> Very rarely,<ref name=yaws/> yaws may cause [[exostosis|bone spurs]] in the upper jaw near the nose (gondou); gondou was rare even when yaws was a common disease.<ref name="advances"/> <gallery mode="packed" heights="150" title="Tertiary" yaws=""> File:Medical diagnosis for the student and practitioner (1922) (14761746096).jpg|Deep ulceration occurs in tertiary yaws File:Medical diagnosis for the student and practitioner (1922) (14804596673).jpg|Severe tertiary yaws; gangosa File:Medical diagnosis for the student and practitioner (1922) p1117 (cropped to goundu).jpg|Goundu, a very rare yaws-caused deformity around the nose </gallery>
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