??Yaws

I suggested that  Tatiana Caseau might have Scrofula.  I never felt fully comfortable with that diagnosis, I am pretty sure that is when the lymph nodes become suppurative, and her lesions were on the extremies remote from any nodes.  But I really had absolutely no idea what the diagnosis was so I just went with that to label her.  (I know probably half the docs reading this are thinking I am an idiot, but she had 4 years of weight loss and oozing lesions, and I have no books with me to look this stuff up)

 

Anyway, big shout out to Dr Weinstein.  He looked at my photos of the girl and suggested Yaws.

I still dont know if this is the correct diagnosis, but having looked at pix of Yaws I can definately say whatever the answer is, I bet he's a lot closer than I was.  The doc who took over her care at Gheskio tell me they will email me the final results

 

Thanks Jonathan for the suggestion, and Thanks Dr Rouzier and Dr Severe for being such great assistance in getting care for this cute kid. 

 

Pete Sananman