(endemic syphilis) n. a long-lasting nonvenereal form of *syphilis that occurs in the Balkans, Turkey, eastern Mediterranean countries, and the dry savannah regions of North Africa; it is particularly prevalent where standards of personal hygiene are low. The disease is spread among children and adults by direct body contact. Early skin lesions are obvious in the moist areas of the body (mouth, armpits, and groin) and later there may be considerable destruction of the tissues of the skin, nasopharynx, and long bones. Wartlike eruptions in the anal and genital regions are common. Bejel, which is rarely fatal, is treated with penicillin.