What are the causes and symptoms of bejel?

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Treponema pallidum, the bacteria that causes bejel, is very closely related to the one that causes the sexually transmitted form of syphilis, but transmission is very different. In bejel, transmission is by direct contact, with broken skin or contaminated hands, or indirectly by sharing drinking vessels and eating utensils. T. pallidum is passed on mostly between children living in poverty in very unsanitary environments and with poor hygiene.

The skin, bones, and mucous membranes are affected by bejel. Patches and ulcerated sores are common in the mouth, throat, and nasal passages. Gummy lesions may form, even breaking through the palate. Other findings may include a region of swollen lymph nodes and deep bone pain in the legs. Eventually, bones may become deformed.

Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.";

<div class="section1"> <p><i>Treponema pallidum</i>, the bacteria that causes bejel, is very closely related to the one that causes the sexually transmitted form of syphilis, but transmission is very different. In bejel, transmission is by direct contact, with broken skin or contaminated hands, or indirectly by sharing drinking vessels and eating utensils. <i>T. pallidum</i> is passed on mostly between children living in poverty in very unsanitary environments and with poor hygiene. </p> <p>The skin, bones, and mucous membranes are affected by bejel. Patches and ulcerated sores are common in the mouth, throat, and nasal passages. Gummy lesions may form, even breaking through the palate. Other findings may include a region of swollen lymph nodes and deep bone <i>pain</i> in the legs. Eventually, bones may become deformed.</p> </div><p><i>Source: The Gale Group. Gale Encyclopedia of Medicine, 3rd ed.</i>";

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