Consultations en soins de support oncologiques mono-, multi-, ou interdisciplinaires : que privilégier ?

Garnier, Stéphanie Ranque; Pelletti, Caroline; Quenard, Christelle; Vallet, Fabienne; Lemoine, Patrick; Guastella, Virginie; Rhondali, Wadih

doi:10.1016/j.bulcan.2015.04.019

Cited by 2 publications

(1 citation statement)

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“…This article is at the crossroads of the infectious disease and algology fields. It highlights the traps of excessive specialization and the value of a multidisciplinary approach with its precious sharing of knowledge [83]. Considering available data on fibromyalgia, one may wonder whether post-treatment Lyme disease syndrome described in Lyme disease should instead be considered as post-infectious fibromyalgia.…”

Section: Discussionmentioning

confidence: 99%

Management of patients presenting with generalized musculoskeletal pain and a suspicion of Lyme disease

Garnier¹,

Eldin

Sault³

et al. 2019

Médecine et Maladies Infectieuses

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Lyme disease is caused by bacteria of the B. burgdorferi sensu lato complex, and can give polymorphic clinical manifestations that can affect several organs such as the skin, the central nervous system, or the joints. In recent years, patients' associations and physicians have been supporting the hypothesis that this infection would manifest as chronic generalized musculoskeletal pain symptoms, named "chronic Lyme disease".Fibromyalgia is a clinical presentation characterized by chronic generalized musculoskeletal pain with a major impact on quality of life and social and psychological functioning. We analyzed existing literature data on pain syndromes associated with Lyme disease (post-treatment Lyme disease syndrome) or tick bites (polymorphic symptoms after a tick bite). We also analyzed existing data on the diagnosis, pathophysiology, and treatment of fibromyalgia. Our review shows that posttreatment Lyme disease syndrome has characteristics very close to post-infectious fibromyalgia. On the other hand, patients presenting for Lyme disease screening because of chronic generalized musculoskeletal pain symptoms after a tick bite should also be screened for fibromyalgia to allow appropriate management. Antibiotics are not recommended here.

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Section: Discussionmentioning

confidence: 99%