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{{SK}} Nonvenereal endemic syphilis; endemic syphilis; treponematosis, bejel type; dichuchwa; frenga; njovera; siti;
{{SK}} Nonvenereal endemic syphilis; endemic syphilis; treponematosis, bejel type; dichuchwa; frenga; njovera; siti;


==Overview==
==[[Bejel overview|Overview]]==


'''Bejel''', or '''endemic syphilis''', is a chronic skin and tissue disease caused by infection by a subspecies of the [[spirochete]] ''[[Treponema pallidum]]''.
==[[Bejel pathophysiology|Pathophysiology]]==


==Causes==
==[[Bejel causes|Causes]]==
Although the organism that causes bejel, ''Treponema pallidum endemicum'', is [[comparative anatomy|morphologically]] and [[serology|serologically]] indistinguishable from ''Treponema pallidum pallidum'', which causes [[STD|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==
==[[Bejel differential diagnosis|Differentiating Bejel from other Diseases]]==
===Symptoms===
* [[Skin ulcer]]s
* Bone pain
* Mouth ulcers


===Physical Examination===
==[[Bejel epidemiology and demographics|Epidemiology and Demographics]]==
====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''.


==[[Bejel natural history, complications and prognosis|Natural History, Complications and Prognosis]]==
==Diagnosis==
[[Bejel history and symptoms| History and Symptoms]] | [[Bejel physical examination | Physical Examination]] |[[Bejel laboratory findings|Laboratory Findings]] | [[Bejel other diagnostic studies|Other Diagnostic Studies]]
==Treatment==
==Treatment==
* [[Penicillin]] - in large doses
[[Bejel medical therapy|Medical Therapy]] | [[Bejel primary prevention|Primary Prevention]] | [[Bejel secondary prevention|Secondary Prevention]]
* Alternatives inlcude:
==Case Studies==
** [[Chloramphenicol]]
[[Bejel case study one|Case#1]]
** [[Tetracycline]] - usually not prescribed for children aged less than 8 years.
==Related Chapters==
 
==See also==
*[[Pinta (disease)]]
*[[Pinta (disease)]]
*[[Syphilis]]
*[[Syphilis]]
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[[pl:Kiła endemiczna]]
[[pl:Kiła endemiczna]]
{{WikiDoc Help Menu}}
{{WikiDoc Help Menu}}
{{WikiDoc Sources}}
{{WikiDoc Sources}}

Revision as of 14:14, 16 November 2012

Template:DiseaseDisorder infobox

Bejel Microchapters

Home

Patient Information

Overview

Pathophysiology

Causes

Differentiating Bejel from other Diseases

Epidemiology and Demographics

Screening

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms

Physical Examination

Laboratory Findings

Other Diagnostic Studies

Treatment

Medical Therapy

Primary Prevention

Secondary Prevention

Case Studies

Case #1

Bejel On the Web

Most recent articles

Most cited articles

Review articles

CME Programs

Powerpoint slides

Images

American Roentgen Ray Society Images of Bejel

All Images
X-rays
Echo & Ultrasound
CT Images
MRI

Ongoing Trials at Clinical Trials.gov

US National Guidelines Clearinghouse

NICE Guidance

FDA on Bejel

on Bejel

Bejel in the news

Blogs on Bejel

Directions to Hospitals Treating Bejel

Risk calculators and risk factors for 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

Pathophysiology

Causes

Differentiating Bejel from other Diseases

Epidemiology and Demographics

Natural History, Complications and Prognosis

Diagnosis

History and Symptoms | Physical Examination |Laboratory Findings | Other Diagnostic Studies

Treatment

Medical Therapy | Primary Prevention | Secondary Prevention

Case Studies

Case#1

Related Chapters

Template:Spirochetal diseases nl:Bejel

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