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Dermatology · Bacterial infections: bejel
Sample itemMucous patches in the mouth and condylomata lata in children living in hot, dry rural regions, with no genital chancre, suggest which non-venereal treponematosis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Bejel (endemic syphilis)
Bejel is caused by Treponema pallidum endemicum, spread by mouth-to-mouth or shared utensils among children in arid areas such as the Sahel and Arabian peninsula. It causes oral mucous patches and later gummas. It is treated with benzathine penicillin, as for syphilis.
Option by option
A. Bejel (endemic syphilis) (correct)
Correct. Bejel is non-venereal endemic syphilis of dry regions.
B. Yaws
Yaws occurs in warm humid areas with papillomata.
C. Chancroid
Chancroid is a sexually transmitted painful ulcer.
D. Pinta
Pinta is caused by Treponema carateum with dyschromic patches.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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