Endemic nonvenereal treponematosis (bejel) in Saudi Arabia.
Endemic nonvenereal treponematosis (bejel) in Saudi Arabia.
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沙特阿拉伯地方性非性病密螺旋体病（bejel）。
DOI：
10.1093/clinids/7-supplement_2.s260
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发表时间：
1985
期刊：
影响因子：
--
通讯作者：
J. Pace
中科院分区：
文献类型：
--
作者：
G. Csonka;J. Pace
共有2，515人参加了沙特阿拉伯的一家大型军事医院，他们有适当的密螺旋体病放射学证据，进行了临床和血清学研究。有迹象表明，非性病密螺旋体病（bejel）在农村地区的游牧社区中大量存在。相比之下，性病梅毒在这一人群中不太常见，几乎只在城市人群中发现。已经确定了一些bejel的高风险地区。许多来自游牧社区的人抱怨下肢持续疼痛，这通常与长骨骨骨膜炎的放射学证据有关。在过去的30年里，bejel似乎在临床上已经减弱，大多数血清阳性个体具有潜伏性疾病。提出了一个假设，即持续性病变持续的双重感染和卫生的改善，导致再暴露的发病率下降。本文概述了控制感染的措施。
A total of 2,515 individuals attending a large military hospital in Saudi Arabia who had appropriate radiologic evidence of treponematosis were studied clinically and serologically. The indications are that nonvenereal treponematosis (bejel) exists in considerable numbers among the nomadic communities living in rural areas. In contrast, venereal syphilis is less common in this population and is found almost exclusively in urban populations. Some of the high-risk regions for bejel have been identified. Many individuals from nomadic communities complained of persistent pain in the lower limbs, which was often associated with radiologic evidence of osteoperiostitis of the long bones. It also appears that within the last 30 years bejel has become clinically attenuated, with the majority of seropositive individuals having latent disease. A hypothesis is put forward that persistent lesions are sustained by superinfection and that improvements in hygiene have resulted in a decrease in the incidence of reexposure. Measures to control the infection are outlined.