Гунду (Goundou), Ahakpe (Anakhre)

Goundou, Ahakpe (Anakhre): description of a rare disease

Goundou and Ahakpe (Anakhre) are the names of the same rare disease that occurs after suffering from yaws, an infectious disease caused by the bacterium Treponema pallidum. Yaws is common in different regions of the world, including Central Africa and South America, where Gundu is also common.

After suffering yaws, some patients begin to thicken the upper edges of the nasal notches of the jaws, forming the anterior opening of the nasal cavity. This results in the formation of two large bony growths approximately 7 cm in diameter on either side of the nose. Such growths not only close the nostrils, but also reduce a person’s field of vision, which can significantly affect their quality of life.

The initial symptoms of Gundu are persistent headache and bloody purulent discharge from the nose. If the disease is not detected and treated at an early stage, it continues to progress, leading to the formation of bone spurs.

In cases where the disease is detected at an early stage, it can be cured with penicillin injections. However, in later stages of the disease, surgical removal of these bone growths may be the only treatment.

Gundu is a rare disease and requires close medical supervision and timely treatment. If you notice the symptoms described above, contact your doctor for professional advice and treatment.



**Gundu** is a rare condition that develops after an illness known as yaws, which affects the maxillofacial region. Yaws is a serious infectious disease caused by the bacterium Streptococcus spp., and is characterized by the appearance of small, inflamed blisters on the skin. It is very important to see a doctor immediately when the first symptoms appear.

The upper edges of the nasal notches of the jaws, forming the anterior openings of the nasal cavity, begin to thicken, taking the form of oval deposits up to 70 mm, often leading to disruption of the anatomical shape of the face.



Gundu is a condition that develops after an infectious disease, mainly yaws, and is accompanied by thickening of the upper edges of the nasal openings of the jaws and the formation of “stone walls” around the nose. This pathology occurs in Central Africa and South America, where it is widespread.

Gundu usually begins with a headache and persistent purulent nasal discharge. Despite the seeming harmlessness of the symptoms of the disease, you should immediately consult a doctor. Early treatment



Gundu and Ahakra: two characteristic conditions associated with past infectious diseases cause severe visual impairment and require surgical correction.

Gundu: This disease develops after an infection of Framberia, which results in hyperostotic deformation of the upper edges of the nasal recesses. They manifest themselves as symptoms of headache, purulent nasal discharge and almost completely close the nasal opening. Treatment depends on the stage of the disease. Usually, in the initial stages, an injection of a penicillin drug leads to complete recovery, otherwise surgery is performed.

Acacre: Similarly, Acacre can cause identical symptoms to framberia and the treatment will be similar. The deformity develops due to the growth of heavy bone formations in the nasal area - so-called osteophytes. In severe cases, surgical removal is required. Both conditions are very common in countries where viral diseases have been well established, and their incidence is still high among some populations, especially among people living in socially disadvantaged or even socially distanced groups.