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Wegener’s granulomatosis with cardiac involvement masquerading as Lyme disease.

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Abstract

Cardiac conduction
disease is an infrequent complication of Wegener’s granulomatosis (WG). We describe a case demonstrating an association between WG and complete atrioventricular dissociation. This manifestation was initially interpreted as
Lyme disease based on these cardiac findings, arthritis, myalgias and positive
Lyme serology. The clinical overlap between these disorders and the appropriate use of respective serologies is discussed.

Clin Exp Rheumatol. 2003 Sep-Oct;21(5):647-9. Case Reports

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