Bejel, also known as “endemic syphilis” and “nonvenereal endemic syphilis”, is a rare chronic skin condition. Bejel usually begins as a small patch on the inside of a person’s mouth and is followed by raised marks on the skin on the person’s torso, arms, and legs. The marks on the skin can then spread to the person’s nose and face. Although bejel can be see in many areas of the world, it is usually seen around the eastern Mediterranean region and in West Africa. Bejel is usually transmitted by mouth-to-mouth contact and through sharing household utensils, such as forks, knives, and spoons. Bejel is completely treatable with antibiotics (medication) such as penicillin. Talk with your doctor to find the best treatment if you or a loved one has been diagnosed with bejel.