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Lyme arthritis as the incorrect diagnosis in pediatric and adolescent fibromyalgia.

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Abstract

In areas endemic for
Lyme disease there is increasing concern and anxiety about possible chronic and untreatable manifestations of the
disease. The authors have diagnosed fibromyalgia in many patients with chronic musculoskeletal complaints in whom chronic
Lyme arthritis had previously been diagnosed as the cause of their joint pains. Fibromyalgia is a common disorder, causing arthralgia (not true arthritis), fatigue, and debility. The repeated and/or long-term antibiotic therapy prescribed for “chronic
Lyme disease” is not successful in curing the symptoms of fibromyalgia. Especially in areas where anxiety about
Lyme disease is great, it is important to be careful in diagnosing chronic
Lyme disease. Fibromyalgia is a potentially treatable and curable cause of chronic complaints and should be considered in the differential diagnosis of “refractory
Lyme arthritis.”

Pediatrics. 1992 Oct;90(4):523-8.

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