Borrelial lymphocytoma cutis: A diagnostic dilemma

Kandhari, Rajat; Kandhari, Sanjiv; Jain, Shubha

doi:10.4103/0019-5154.143530

Cited by 15 publications

(5 citation statements)

References 17 publications

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“…A review of various cases/studies from the country is summarized in Table 1. [78910111213] The patient in the present case had both the characteristic centrifugally spreading lesion of ECM as well as other atypical lesions in the form of lymphangitic streaks, petechiae, and maculopapular lesions. This case report highlights the possibility of future risk of Lyme disease in Himachal Pradesh and warrants the treating physicians to be aware of its occurrence in this part of the world.…”

Section: Discussionmentioning

confidence: 77%

Lyme disease: A case report with typical and atypical lesions

Sharma¹,

Guleria²,

Sharma³

et al. 2017

Indian Dermatol Online J

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Lyme disease is a multisystem infectious disease caused by the spirochete “Borrelia burgdorferi,” which is transmitted by “Ixodes” tick, with skin being the most common and earliest organ to be affected. Diagnosis of erythema chronicum migrans (ECM), which is the characteristic lesion of early disease, may help in early treatment and prevention of complications. Here, we are reporting a case of Lyme disease in a 10-year-old young boy from a non-endemic zone of Himachal Pradesh, who presented with typical as well as atypical ECM lesions. The clinical diagnosis was confirmed serologically, and the child was treated successfully with doxycycline.

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Section: Discussionmentioning

confidence: 77%

Lyme disease: A case report with typical and atypical lesions

Sharma¹,

Guleria²,

Sharma³

et al. 2017

Indian Dermatol Online J

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“…Various formulations and procedures like Pralepa, Pradeha, Malahara, Upanha, Taila, Avachurna, Abhyanga, Avagahana, Parisechana etc. have been and are being used with great effectivity pertaining to the requirement of the skin, keeping in mind the Prakriti of a person in healthy condition and the disease in the diseased [39][40][41].…”

Section: Internal Methodsmentioning

confidence: 99%

Skin Health Preservation and Procurement with Special Reference to its Twak Vikaras

Sud¹

2017

JONAM

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“…The hikers, workers in animal parks, thickets, forests, woodland, groves or meadows, and travelers to endemic regions are at increased risk. [ 8 ] While large/white-tailed deer, small rodents, domestic cattle and few birds are natural hosts for B.burgdorferi , the disease is mostly incidental in humans. The principal vector in northeast and central USA and Canada is Ixodes scapularis , I. ricinus in Europe, I. pacificus on the Pacific coast, and I. persulcatus in Asia.…”

Section: Epidemiologymentioning

confidence: 99%

Lyme disease: An overview

Mahajan

2023

Indian Dermatol Online J

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Lyme disease, a tick-borne multisystem disease, is caused by spirochete Borrelia burgdorferi (sensu lato) . It is a common illness in temperate countries, especially the United States, but the incidence is increasing across continents due to increasing reforestation, travel and adventure tourism, increased intrusion in the vector habitat, and changing habitat of the vector. Transmission primarily occurs via bite of an infected tick ( Ixodes spp.). The appearance of an erythema migrans rash following a tick bite is diagnostic of early Lyme disease even without laboratory evidence. Borrelia lymphocytoma and acrodermatitis chronica atrophicans along with multisystem involvement occur in late disseminated and chronic stages. A two-step serologic testing protocol using an enzyme-linked immunosorbent assay (ELISA) followed by confirmation of positive and equivocal results by Western immunoblot is recommended for the diagnosis. Transplacental transmission to infant occurs in the first trimester with possible congenital Lyme disease making treatment imperative during antenatal period. The treatment is most effective in the early stages of the disease, whereas rheumatological, neurological, or other late manifestations remain difficult to treat with antibiotics alone. Treatment with oral doxycycline is preferred for its additional activity against other tick-borne illnesses which may occur concurrently in 10%–15% of cases. New-generation cephalosporins and azithromycin are alternative options in patients with doxycycline contraindications. No vaccine is available and one episode of the disease will not confer life-long immunity; thus, preventive measures remain a priority. The concept of post–Lyme disease syndrome versus chronic Lyme disease remains contested for want of robust evidence favoring benefits of prolonged antibiotic therapy.

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Borrelial lymphocytoma cutis: A diagnostic dilemma

Cited by 15 publications

References 17 publications

Lyme disease: A case report with typical and atypical lesions

Lyme disease: A case report with typical and atypical lesions

Skin Health Preservation and Procurement with Special Reference to its Twak Vikaras

Lyme disease: An overview

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