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Revision as of 20:36, 15 November 2012
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Bejel On the Web |
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American Roentgen Ray Society Images of Bejel |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Raviteja Guddeti, M.B.B.S. [2]
Synonyms and keywords: Nonvenereal endemic syphilis; endemic syphilis; treponematosis, bejel type; dichuchwa; frenga; njovera; siti;
Overview
Bejel, or endemic syphilis, is a chronic skin and tissue disease caused by infection by a subspecies of the spirochete Treponema pallidum.
Causes
Although the organism that causes bejel, Treponema pallidum endemicum, is morphologically and serologically indistinguishable from Treponema pallidum pallidum, which causes venereal syphilis, transmission of bejel is not venereal in nature, generally resulting from mouth-to-mouth contact or sharing of domestic utensils, and the courses of the two diseases are somewhat different.
Diagnosis
Symptoms
- Skin ulcers
- Bone pain
- Mouth ulcers
Physical Examination
Skin
- Ulcers
Head
- Small mucous patch, often on the interior of the mouth
- Gummas on the soft palate
Nose
- Gummas on the nose
Extremities
- Raised, eroding lesions on the limbs and trunk. Periostitis (inflammation) of the leg bones is commonly seen
Epidemiology and Demographics
Bejel is mainly found in arid countries of the eastern Mediterranean region and in West Africa, where it is known as sahel.
Treatment
- Penicillin - in large doses
- Alternatives inlcude:
- Chloramphenicol
- Tetracycline - usually not prescribed for children aged less than 8 years.
See also
Template:Spirochetal diseases nl:Bejel