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Lyme Arthritis: Experience from Somerset, England

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Lyme Borreliosis

Part of the book series: NATO ASI Series ((NSSA,volume 260))

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Abstract

Joint manifestations of Lyme Disease are the rule in the United States of America, but seem to be the exception in the United Kingdom. One report from southern England documented a patient who developed a monoarthritis within 72 hours of a tick bite, a more generalised arthropathy evolving 2 weeks later when erythema ehronicum migrans (ECM) was still present (1). Sixty eight patients were identified as seropositive for Borrelia burgdorferi out of a total of 431 sera tested in a reference laboratory; of these seropositive patients only one reported joint symptoms (2) which took the form of a symmetrical polyarthritis and which resolved without antibaeterial therapy.

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References

  1. Macallan DC, Hughes, CA, Bradlow A. Lyme Arthritis in Southern England. Br Med J 1987; 294; 1062–1063.

    Article  CAS  Google Scholar 

  2. Muhlemann NF, Wright DGM. Emerging pattern of Lyme disease in the United Kingdom and Irish Republic. Lancet 1987; i: 261–262.

    Google Scholar 

  3. Barbour AG, Heiland RA, Howe TR. Heterogeneity of Major Proteins in in Lyme disease borreliae: A molecular analysis of North American and European isolate. J Infect Dis 1985; 152: 478–484.

    Google Scholar 

  4. Steere AC, Gibofski A, Patarroyo ME, Winchester RJ, Hardin JA, Mlawista SE. Chronic Lyme arthritis: clinical and immunogenetic differentiation from rheumatoid arthritis. Ann Intern Med 1979; 90: 896.

    Article  PubMed  CAS  Google Scholar 

  5. Steere AC, Schoen RT, Taylor E. The clinical evolutiion of Lyme Arthritis. Ann Intern Med 1987; 107: 725.

    Article  PubMed  CAS  Google Scholar 

  6. Herzer P. Joint Manifestations of Lyme Borreliosis in Europe. Scand J Infect Dis 1991 (suppl); 77: 896.

    Google Scholar 

  7. Steere AC, Green J, Schoen RT, Taylor E, Hutchinson GJ, Rahn DW, Malawista SE. Successful parenteral penicillin therapy of established Lyme arthritis. N Engl J Med 1984; 312: 869.

    Article  Google Scholar 

  8. Sigal LH. Lyme Disease: Testing and Treatment. In: Sergent JS, Panush RS, Eds. Rheumatic Disease Clinics of North America. Saunders: Philadelphia, 1993; 19:1; 79–93.

    Google Scholar 

  9. Levin RE. An Unusual Presentation of Lyme Arthritis. J Rheumatol 1989; 16:11: 1500–1501.

    Google Scholar 

  10. Goebel KM, Kranse A, Neurath F. Acquired transient autoimmune reaction in Lyme arthritis: correlation between rheumatoid factor and disease activity. Scand J Rheum 1988 (Suppl); 75: 314.

    Google Scholar 

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© 1994 Springer Science+Business Media New York

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Palferman, T.G. (1994). Lyme Arthritis: Experience from Somerset, England. In: Axford, J.S., Rees, D.H.E. (eds) Lyme Borreliosis. NATO ASI Series, vol 260. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-2415-1_9

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  • DOI: https://doi.org/10.1007/978-1-4615-2415-1_9

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4613-6024-7

  • Online ISBN: 978-1-4615-2415-1

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