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- $Unique_ID{BRK03521}
- $Pretitle{}
- $Title{Bejel}
- $Subject{Bejel Endemic Syphylis Nonvenereal Syphilis Dichuchwa Njovera Frenga
- Siti}
- $Volume{}
- $Log{}
-
- Copyright (C) 1986 National Organization for Rare Disorders, Inc.
-
- 124:
- Bejel
-
- ** IMPORTANT **
- It is possible that the main title of the article (Bejel) is not the name
- you expected. Please check the SYNONYM listing to find the alternate names
- and disorder subdivisions covered by this article.
-
- Synonyms
-
- Endemic Syphylis
- Nonvenereal Syphilis
- Dichuchwa
- Njovera
- Frenga
- Siti
-
- General Discussion
-
- ** REMINDER **
- The information contained in the Rare Disease Database is provided for
- educational purposes only. It should not be used for diagnostic or treatment
- purposes. If you wish to obtain more information about this disorder, please
- contact your personal physician and/or the agencies listed in the "Resources"
- section.
-
-
- Bejel, or endemic syphilis, is an infectious disease caused by an
- organism related to and identical in appearance to that causing venereal
- syphilis, but it is transmitted differently. The infection causes
- destructive lesions of the skin and bone. It is common among children in the
- mediterranean countries of the Middle East, northern Africa, and parts of
- eastern Europe, especially in Yugoslavia, as well as Arabia, subsaharan
- Africa, and Southeast Asia. However, in the United States, it is rare. The
- disease is easily cured, but some of the lesions leave permanent scars.
-
- Symptoms
-
- The earliest symptom of Bejel, an ulcerated patch on a mucous surface such as
- the inside of the mouth, appears in childhood. Ulcerations and a papular
- (bumpy) rash develop on the trunk, legs, and arms. Lesions are concentrated
- in the armpits, groin, and rectum.
-
- After a latent period, during which the patient's immune system modifies
- its response to the pathogenic organism, lesions may appear on the skin and
- bones, causing permanent scarring.
-
- Causes
-
- Bejel is caused by a spirochete (a kind of microorganism) known as treponema
- pallidum II. This organism is closely related and morphologically
- indistinguishable from the organism that causes venereal syphilis, yaws, and
- pinta. It is transmitted by physical, nonsexual contact and the sharing of
- eating and drinking utensils.
-
- Affected Population
-
- Bejel affects persons living in the Middle East, the mediterranean basin,
- Northern and subsaharan Africa, Arabia, parts of South East Asia, and areas
- in Eastern Europe, most notably Yugoslavia.
-
- Related Disorders
-
- The treponematoses (Bejel (endemic syphilis), pinta, yaws, and venereal
- syphilis) are all caused by identical looking treponemas. They differ,
- however, in distribution, mode of transmission, and clinical characteristics.
- (For more information on these related disorders, choose the following words
- as your search terms in the Rare Disease Database: pinta, yaws, and
- syphilis.)
-
- Therapies: Standard
-
- The lesions of Bejel resolve after treatment with antimicrobial drugs such as
- benzathine penicillin G.
-
- Therapies: Investigational
-
- This disease entry is based upon medical information available through
- September 1989. Since NORD's resources are limited, it is not possible to
- keep every entry in the Rare Disease Database completely current and
- accurate. Please check with the agencies listed in the Resources section for
- the most current information about this disorder.
-
- Resources
-
- For more information on Bejel, please contact:
-
- National Organization for Rare Disorders (NORD)
- P.O. Box 8923
- New Fairfield, CT 06812-1783
- (203) 746-6518
-
- NIH/National Institute of Allergy and Infectious Diseases
- 9000 Rockville Pike
- Bethesda, MD 20892
- (301) 496-5717
-
- Centers for Disease Control (CDC)
- 1600 Clifton Road, NE
- Atlanta, GA 30333
- (404) 639-3534
-
- References
-
- THE MERCK MANUAL 15th ed: R. Berkow, et al: eds; Merck, Sharp & Dohme
- Research Laboratories, 1987. P. 132.
-
- CECIL TEXTBOOK OF MEDICINE, 18th ed.: James B. Wyngaarden, and Lloyd H.
- Smith, Jr., Eds.: W. B. Saunders Co., 1988. P. 1723.
-
-