Lyme disease: diagnosis and treatment.


Journal

Current opinion in rheumatology
ISSN: 1531-6963
Titre abrégé: Curr Opin Rheumatol
Pays: United States
ID NLM: 9000851

Informations de publication

Date de publication:
05 2020
Historique:
pubmed: 7 3 2020
medline: 26 1 2021
entrez: 7 3 2020
Statut: ppublish

Résumé

Lyme disease is an important, vector-borne infection found throughout the temperate Northern hemisphere. The disease causes rash, acute systemic illness, and in some untreated patients, inflammatory arthritis. This review examines the emergence, clinical features and management of early Lyme disease and Lyme arthritis. There has been continuing progress in characterizing the clinical manifestations, diagnostic testing and treatment of Lyme disease. Almost all patients with early Lyme disease can be cured with antibiotic treatment. In most cases, Lyme arthritis also responds to antibiotics, but some patients require additional treatment approaches. The diagnosis of Lyme disease is based on clinical manifestations and adjunctive laboratory testing. For the rheumatologist, Lyme arthritis should be recognized by a pattern of attacks of asymmetric, oligo-arthritis, recognizable by clinical manifestations in the same way that other rheumatic diseases, such as gout or rheumatoid arthritis, are diagnosed.

Identifiants

pubmed: 32141956
doi: 10.1097/BOR.0000000000000698
pii: 00002281-202005000-00007
doi:

Substances chimiques

Anti-Bacterial Agents 0

Types de publication

Journal Article Review

Langues

eng

Sous-ensembles de citation

IM

Pagination

247-254

Références

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Auteurs

Robert T Schoen (RT)

Section of Rheumatology, Allergy and Immunology, Yale University School of Medicine New Haven, Connecticut, USA.

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