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Musculoskeletal symptoms often incorrectly attributed to Lyme disease.

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Abstract

OBJECTIVE:

To establish, in patients referred with persisting noninflammatory musculoskeletal complaints. diagnosed elsewhere with
Lyme disease, whether
Lyme disease was present.

SETTING:

Outpatient Clinic for Rheumatology. Eemland Hospital Amersfoort and University Hospital Utrecht, the Netherlands.

DESIGN:

Descriptive, prospective.

METHOD:

Patients were classified as having had
Lyme disease in the past, having ongoing
Lyme disease of no
Lyme disease at all, on the basis of clinical history, physical examination, and classification criteria for
Lyme disease.

RESULTS:

In a two-year period 37 consecutive patients (mean age 50 years) were examined, 20 (54%) of whom had (a history of)
Lyme disease. Of these 20, two suffered from erythema migrans, one of synovitis of the knee, and one of acrodermatitis chronica atrophicans (these four had not been treated). while one had persistent chronic oligoarthritis. Seventeen patients did not have
Lyme disease, but were suffering from aspecific, noninflammatory musculoskeletal problems.

CONCLUSION:

In this patient group with persisting musculo-skeletal complaints, ‘
Lyme disease‘ had been diagnosed correctly as often as incorrectly.

Ned Tijdschr Geneeskd. 1997 Mar 8;141(10):474-7. English Abstract

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