Latent bejel

Latent bejel refers to the asymptomatic, clinically quiescent phase of endemic syphilis, a chronic nonvenereal treponematosis caused by the spirochete *Treponema pallidum* subspecies *endemicum*

Latent bejel refers to the asymptomatic, clinically quiescent phase of endemic syphilis, a chronic nonvenereal treponematosis caused by the spirochete *Treponema pallidum* subspecies *endemicum* In this latent stage, active lesions involving the oral mucosa, skin, or bones have resolved, leaving patients entirely free of overt symptoms while remaining seropositive on nontreponemal and treponemal assays Pathophysiologically, the bacteria persist subclinically in deep tissues, carrying a long-term...

It primarily occurs in populations living in arid, rural regions of the Middle East and the Sahel, where primary and secondary mucocutaneous infections are typically acquired in childhood through skin-to-skin contact or shared utensils In this latent stage, active lesions involving the oral mucosa, skin, or bones have resolved, leaving patients entirely free of overt symptoms while remaining seropositive on nontreponemal and treponemal assays Pathophysiologically, the bacteria persist subclinica...

It primarily occurs in populations living in arid, rural regions of the Middle East and the Sahel, where primary and secondary mucocutaneous infections are typically acquired in childhood through skin-to-skin contact or shared utensils

In this latent stage, active lesions involving the oral mucosa, skin, or bones have resolved, leaving patients entirely free of overt symptoms while remaining seropositive on nontreponemal and treponemal assays

Pathophysiologically, the bacteria persist subclinically in deep tissues, carrying a long-term risk of reactivation into late, destructive tertiary disease marked by disfiguring gummatous lesions and periostitis of the bone and cartilage