Diagnosis, treatment, and prognosis of erythema migrans and Lyme arthritis

Feder, Henry M.; Abeles, Moshe; Bernstein, Megan L.; Whitaker-Worth, Diane; Grant‐Kels, Jane M.

doi:10.1016/j.clindermatol.2006.07.012

Cited by 33 publications

(30 citation statements)

References 93 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In children, the head and neck region is the most common location. 3 EM was misdiagnosed as cellulitis in this patient, which resulted in delay in diagnosis of early Lyme disease and led to the subsequent chondritis of the right ear cartilage. EM lesions cause local itching or burning in 50% of cases.…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Lyme Chondritis Presenting as Painless Ear Erythema

2013

View full text Add to dashboard Cite

show abstract

Section: Discussionmentioning

confidence: 99%

“…Further, based on cleavage lines, the EM lesion may not be annular in certain body locations. 3 EM lesions typically appear in or around a large joint, but can be located anywhere on the body except the palms and soles. In children, the head and neck region is the most common location.…”

Section: Discussionmentioning

confidence: 99%

Lyme Chondritis Presenting as Painless Ear Erythema

2013

View full text Add to dashboard Cite

show abstract

“…On the other hand, when caused by B. afzelii and B. garinii, manifestations are often shorter with fewer frequent local symptoms and are rarely accompanied by systemic involvement. 44 Articular involvement is more frequent in infection by B. burgdorferi Sensu Stricto, predominating in the United States. Early manifestations are characterized by seronegative oligoarthritis, with edema and pain, especially in large joints such as the knees.…”

Section: Clinical Manifestationsmentioning

confidence: 99%

Borreliose de Lyme

Santos

Júnior

Ribeiro‐Rodrigues

et al. 2010

An. Bras. Dermatol.

View full text Add to dashboard Cite

Abstract:Borreliosis is an infectious disease caused by spirochetes of the genus Borrelia. Lyme borreliosis, also known as Lyme disease, is a non-contagious infectious disease caused by spirochetes belonging to the complex Borrelia burgdorferi sensu lato and more often transmitted by the bite of infected ticks of the genus Ixodes.The disease is characterized by a varied clinical profile, which can trigger cutaneous, articular, neurological and cardiac manifestations. Key words: Keywords: Borrelia burgdorferi, Lyme disease, chronic Erythema migrans; Ixodes Resumo: As borrelioses constituem um grupo de doenças infecciosas causadas por espiroquetas do gêne-ro Borrelia. A borreliose de Lyme, também denominada doença de Lyme, é uma doença infecciosa, não contagiosa, causada por espiroquetas pertencentes ao complexo Borrelia burgdorferi Sensu Lato e transmitida, mais frequentemente, por picada de carrapatos do gênero Ixodes. A doença apresenta quadro clí-nico variado, podendo desencadear manifestações cutâneas, articulares, neurológicas e cardíacas.

show abstract

“…Of the patients in whom arthritis is persistent, 1%-3% will develop refractory arthritis and continue to have active synovitis despite the additional antibiotic therapy. These patients are often treated with intraarticular steroid injections, surgical synovectomy, or immunomodulating agents, but there remains no well developed treatment protocol to guide the management of this antibiotic-refractory, postinfectious arthritis 4 .…”

mentioning

confidence: 99%

“…Lyme arthritis is a well described late manifestation of Lyme disease, characterized by intermittent, recurring, asymmetrical, pauciarticular attacks of joint swelling and pain, persisting for days to months. Lyme arthritis occurs in 50%-60% of untreated patients 3,4 , with the knee the most commonly affected joint 5 . Children are more likely to develop arthritis secondary to Lyme disease than adults, and they are more likely to have arthritis as the sole presenting symptom of the disease 1 .…”

mentioning

confidence: 99%