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Pian - Treatment

Nombres alternativos

Frambesia tropical

Tratamiento:

El tratamiento implica una sola dosis de un tipo específico de penicilina o tres dosis semanales para la enfermedad en etapa tardía. La reaparición de la enfermedad es poco común.

Expectativas (pronóstico):

El pian se puede curar si se trata en sus etapas iniciales y las lesiones cutáneas pueden tomar varios meses para sanar.

En su etapa avanzada, es posible que el pian ya haya causado daño a la piel y a los huesos y puede no ser completamente reversible, incluso con tratamiento.

Complicaciones:

El pian puede dañar la piel y los huesos, afectando la apariencia y la capacidad para movilizarse. Asimismo, puede causar deformidades en las piernas, la nariz, el paladar y el maxilar superior.

Situaciones que requieren asistencia médica:

Consulte con el médico si usted o su hijo presentan úlceras en la piel o el hueso que no desaparecen y han permanecido en áreas tropicales donde se sabe que se presenta el pian.

Reviewed last on: 2/23/2010
David C. Dugdale, III, MD, Professor of Medicine, Division of General Medicine, Department of Medicine, University of Washington School of Medicine; Jatin M. Vyas, MD, PhD, Assistant Professor in Medicine, Harvard Medical School, Assistant in Medicine, Division of Infectious Disease, Department of Medicine, Massachusetts General Hospital. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

Referencias

Hook III EW. Nonsyphilitic Treponematoses. In: Goldman L, Ausiello D, eds. Cecil Medicine. 23rd ed. Philadelphia, Pa: Saunders Elsevier; 2007:chap 341.

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