Bejel in Sheffield.

نویسنده

P M Wray

چکیده

Immigration into the United Kingdom has increased the possibility of encountering interesting variants of disease in the differential diagnosis of positive serological tests for syphilis (STS). Laird (1955) was the first to point out that many West Indians with positive routine STS had had yaws, usually in childhood. Several had evidence of typical old periostitis in the long bones. Like many cities in the United Kingdom, Sheffield has immigrants from a variety of Commonwealth countries: the West Indies, Pakistan, Hong Kong, Somaliland, and Aden. One of the variants of treponematosis is bejel, which like other forms, such as yaws, is associated with poor living conditions. Hudson (1958) has documented it as it occurs in Syria and Iraq. It was formerly common among the nomadic tribes near the banks of the Euphrates and Tigris rivers. Like other forms of non-venereal treponematosis it rarely leads to visceral, neurological, or congenital involvement (Csonka, 1953; Akrawi and Rahim, 1951). An area on the west coast of the Arabian peninsula has been long recognized as one where bejel is or was endemic (Fig. 1). With the aid of an interpreter it was learned that the disease is sometimes known to the natives as bishel or belesh. A condition like crab yaws was called yarub or yaruva. Venereal syphilis is recognized as occurring in Aden, where it is called franji. Two Adenese with positive STS who are believed to have had bejel are described below.

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