Yaws of bones
ICD-10 A66.2 is a billable code used to indicate a diagnosis of yaws of bones.
Yaws is a chronic infectious disease caused by the spirochete Treponema pallidum pertenue, primarily affecting the skin, bones, and cartilage. Yaws of bones specifically refers to the involvement of the skeletal system, which can lead to painful lesions, deformities, and functional impairments. The disease is endemic in tropical regions, particularly in parts of Africa, Asia, and the Pacific Islands. Transmission occurs through direct contact with the lesions of an infected person, and it predominantly affects children aged 2 to 15 years. Clinical manifestations include bone pain, swelling, and tenderness, often accompanied by skin lesions. Diagnosis is typically made through clinical evaluation and serological tests. Treatment involves the administration of antibiotics, primarily benzathine penicillin, which is effective in eradicating the infection and preventing complications. Early diagnosis and treatment are crucial to prevent long-term sequelae, including bone deformities and chronic pain.
Detailed patient history, including travel history and exposure to endemic areas.
Diagnosis of yaws in endemic populations, management of chronic cases.
Awareness of co-infections and differential diagnoses.
Radiological findings, detailed descriptions of bone lesions.
Management of bone deformities resulting from yaws.
Need for collaboration with infectious disease specialists for comprehensive care.
Used for follow-up visits after initial diagnosis of yaws.
Document history, examination findings, and treatment plan.
Infectious disease specialists may require additional details on treatment response.
Common symptoms include bone pain, swelling, tenderness, and skin lesions. Patients may also experience systemic symptoms such as fever and malaise.
