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Where is bejel most commonly found?

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Bejel, which is a nonvenereal form of syphilis, is most commonly found in the hot, dry regions of the Middle East and in the southern Sahara region of Africa.12

Unlike venereal syphilis, bejel is not transmitted through sexual contact; it is typically spread from child to child in unhygienic environments through direct contact with lesions or the sharing of contaminated utensils.12