{"entities":{"Q38163":{"pageid":28529,"ns":120,"title":"Item:Q38163","lastrevid":110131,"modified":"2026-08-13T02:51:17Z","type":"item","id":"Q38163","labels":{"mul":{"language":"mul","value":"1C1D.2"},"pt-br":{"language":"pt-br","value":"Bouba terci\u00e1ria"},"en":{"language":"en","value":"Tertiary yaws"}},"descriptions":{"pt-br":{"language":"pt-br","value":"A bouba terci\u00e1ria se desenvolve em <10% dos indiv\u00edduos infectados n\u00e3o tratados ap\u00f3s um intervalo de 5 anos ou mais. As les\u00f5es cut\u00e2neas em est\u00e1gio avan\u00e7ado s\u00e3o caracterizadas por n\u00f3dulos gomatosos com destrui\u00e7\u00e3o de tecido necr\u00f3tico, seguido por cicatriz debilitante e contratura. A oste\u00edte destrutiva pode resultar em ulcera\u00e7\u00e3o do palato e da nasofaringe (\"gangosa\") ou arqueamento da t\u00edbia (canelas de sabre). A periostite hipertr\u00f3fica em localiza\u00e7\u00f5es periarticulares pode levar \u00e0 exostose da maxila paranasal (\"goundou\")."},"en":{"language":"en","value":"Tertiary yaws develops in <10% of untreated infected individuals after and interval of 5 years or more. The late stage skin lesions are characterised by gummatous nodules with necrotic tissue destruction, followed by debilitating scarring and contracture. Destructive osteitis can result in ulceration of the palate and nasopharynx (\u2018gangosa\u2019), or bowing of the tibia (sabre shins). Hypertrophic periostitis at periarticular sites can lead to exostosis of the paranasal maxillae (\u2018goundou\u2019)."}},"aliases":{},"claims":{"P68":[{"mainsnak":{"snaktype":"value","property":"P68","hash":"4a8faae81e3575d95d74f49de3b9a28bdb413c52","datavalue":{"value":"https://id.who.int/icd/entity/406586413","type":"string"},"datatype":"url"},"type":"statement","id":"Q38163$488BB1A8-976B-4FA1-8B7C-6F2515F99F82","rank":"normal"}],"P67":[{"mainsnak":{"snaktype":"value","property":"P67","hash":"121db5d29b8e7c61c91c7381c2f47d3c602ee365","datavalue":{"value":"CID11:1C1D.2","type":"string"},"datatype":"string"},"type":"statement","id":"Q38163$CD77D0A5-1A93-4340-9AA4-2F0160FEA208","rank":"normal"}],"P70":[{"mainsnak":{"snaktype":"value","property":"P70","hash":"c5713d08fb68e4b2abf6417793e9eb8fa31de8fc","datavalue":{"value":"dki-india-1C1D.2","type":"string"},"datatype":"string"},"type":"statement","id":"Q38163$E1707AD5-7561-4C5A-ABC4-3AE0C768A1A6","rank":"normal"}],"P86":[{"mainsnak":{"snaktype":"value","property":"P86","hash":"a96031634b9f5dafddaf781bbba3adea6bb64ef4","datavalue":{"value":"Conclu\u00eddo","type":"string"},"datatype":"string"},"type":"statement","id":"Q38163$0FBA788C-B354-426F-8F17-18BA01DAE7D1","rank":"normal"}],"P78":[{"mainsnak":{"snaktype":"value","property":"P78","hash":"5f9b5be68b7400da549761cf15abfdbc4d1e075b","datavalue":{"value":"https://pauloleads.com.br/cases-publicos/","type":"string"},"datatype":"url"},"type":"statement","id":"Q38163$1DF33483-6903-45F3-9637-592312F9938B","rank":"normal"}],"P80":[{"mainsnak":{"snaktype":"value","property":"P80","hash":"92b8222fcbb75718504f915073a3f43bd4003d18","datavalue":{"value":{"time":"+2026-08-13T00:00:00Z","timezone":0,"before":0,"after":0,"precision":11,"calendarmodel":"http://www.wikidata.org/entity/Q1985727"},"type":"time"},"datatype":"time"},"type":"statement","id":"Q38163$DAC8108B-2D48-4853-8FBA-141F0773AFDE","rank":"normal"}],"P89":[{"mainsnak":{"snaktype":"value","property":"P89","hash":"d91795f83c18c4a1916fa3e47882b3ee92fe6e8f","datavalue":{"value":{"entity-type":"item","numeric-id":11728,"id":"Q11728"},"type":"wikibase-entityid"},"datatype":"wikibase-item"},"type":"statement","id":"Q38163$EFFDB5F6-CAA1-4554-95B3-C9094590DCF1","rank":"normal"}]},"sitelinks":{}}}}