A65-A69: Other spirochaetal diseases

A67: Pinta [carate]

Pinta, also known as Carate, is an infectious disease caused by the bacteria 'Treponema carateum'. It is principally transmitted through direct, non-sexual contact with the skin lesions of an infected individual. Pinta is characterized by skin lesions that can change over time and is prevalent in regions with tropical climates, impoverished conditions, and poor sanitation infrastructure. The disease generally manifests in three stages: initial red, scaly patches on the skin; raised plaques; and discoloration of the skin in the final stage. Progression from the first to the second stage may take months to years. The disease primarily affects the skin and, unlike other similar bacterial infections, does not cause systemic illness. While Pinta is a treatable condition, untreated or late-stage Pinta can result in permanent skin discolouration and destruction of skin tissue.