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Chronic Lyme disease arthritis: review of the literature and report of a case of wrist arthritis.

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Abstract

A case of
Lyme arthritis with advanced degenerative changes localized to the midcarpal joint was treated with a limited wrist arthrodesis with relief of pain and improved function. Chronic
Lyme arthritis occurs as the third stage of
Lyme disease. Serologic testing and a history of a characteristic rash may be helpful in the diagnosis. Radiographic and histopathologic findings are nonspecific, with both degenerative and inflammatory characteristics. Intravenous antibiotics provide an effective treatment of chronic
Lyme arthritis.

J Hand Surg Am. 1992 May;17(3):571-5. Case Reports; Review

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