Clinical manifestations of bejel. Clinical manifestations of bejel. (A) Early bejel: labial mucosal plaques. (B) Early bejel: lingual plaques. (C) Angular stomatitis of early bejel, which also may occur in yaws. (D) Late bejel rhinopharyngitis mutilans (gangosa), which also occurs in yaws. (Panels A and B are courtesy of Emmanuel Galoo, reprinted from reference 337 with permission. Panel C is reprinted from reference 23 with permission of the publisher. Panel D is reprinted from reference 26 with permission.) Lorenzo Giacani, and Sheila A. Lukehart Clin. Microbiol. Rev. 2014; doi:10.1128/CMR.00070-13