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abstractpubmed· Abstract 2019· item PMID:31310214

Bejel, a Nonvenereal Treponematosis, among Men Who Have Sex with Men, Japan. Bejel, an endemic treponematosis caused by infection with Treponema pallidum subspecies endemicum, has not been reported in eastern Asia and the Pacific region. We report local spread of bejel among men who have sex with men in Japan. Spread was complicated by venereal syphilis.