Publications

TitleAbstractYear
Filter
PMID
Filter
lyme disease in a patient with chronic lymphocytic leukemia mimics leukemic meningeosis.involvement of the central nervous system (cns) is a rare complication of chronic lymphocytic leukemia (cll) and seems to be more frequent in patients with richter's syndrome or prolymphocytic transformation. cases with leptomeningeal involvement reported in the literature mostly do not discuss the definition of cll-associated meningeosis and the exclusion of neuroborreliosis.200717992027
think outside the heart! case report of lyme disease.we report an interesting case of a young drug addict admitted to the emergency department with a high degree a-v block. the diagnosis of lyme carditis was made and there was a progressive regression of the a-v block under antibiotic therapy. however, by focusing on the cardiac manifestations and misled by the patient's drug abuse, concomitant neurological manifestations were picked up late in the hospitalization. missing the diagnosis of lyme-meningoencephalitis could have compromised the patien ...200717982976
calorimetry outside the box: a new window into the plasma proteome.differential scanning calorimetry provides a new window into the plasma proteome. plasma from normal individuals yields a characteristic, reproducible thermogram that appears to represent the weighted sum of denaturation profiles of the most abundant constituent plasma proteins. plasma from diseased individuals yields dramatically different signature thermograms. thermograms from individuals suffering from rheumatoid arthritis, systemic lupus, and lyme disease were measured. each disease appears ...200817951300
an update on the diagnosis and treatment of early lyme disease: "focusing on the bull's eye, you may miss the mark".to confidently diagnose and treat lyme disease, the clinician must first understand the natural history of this disease, especially its protean early manifestations. emergency physicians, primary care physicians, and other providers need to be vigilant in terms of the timely recognition of erythema migrans (em), the unique marker of early localized stage 1 disease. the classic em, originally described as a slowly expanding bull's eye lesion, is now recognized to be present in only the minority o ...201017945460
[children arthropod bites protective measures: insecticides and repellents].vector transmitted diseases are often a serious threat for child health, especially for children traveller in tropical regions. few arthropod borne diseases are preventable by immunization or chimioprophylaxis. prevention of most of them is based on personal protection against arthropod bites. the evidence of its efficacy has been established by the use of impregnated bed nets, impregnated clothes with permethrin or mosquito repellent which reduced significantly child malaria morbidity and morta ...200717942289
a randomized, placebo-controlled trial of repeated iv antibiotic therapy for lyme encephalopathy.optimal treatment remains uncertain for patients with cognitive impairment that persists or returns after standard iv antibiotic therapy for lyme disease.200817928580
prolonged lyme disease treatment: enough is enough. 200817928578
lyme disease: a turning point. 200717914908
reinfection in patients with lyme disease.lyme disease is the most common tick-borne infection in the united states and europe. a surprising number of patients experience a subsequent episode of lyme disease after the first episode has resolved. reinfection has been well-documented only after successfully treated early infection (nearly always erythema migrans) and can often be recognized clinically by the development of a repeat episode of erythema migrans occurring at a different location on the skin during months when the principal t ...200717879922
mri features of lyme arthritis of the hips.diagnosing lyme arthritis without a history of travel to endemic regions or erythema migrans can be a challenge. radiographic and ultrasonographic findings are nonspecific for the diagnosis of lyme arthritis. we present the mri features of lyme disease of the hip in a 4-year-old boy who presented with hip pain and was found to have lyme disease by western blot. our findings include bilateral hip effusions and synovial enhancement, normal bone marrow signal intensity without enhancement, minimal ...200717704909
coronary aneurysm in lyme disease: treatment by covered stent. 200817692941
[beware of ticks--part 2. how to protect oneself against lyme disease?]. 200717687939
lyme disease mimicking central nervous system lymphoma.a 33-year-old male presented with a complaint of intermittently blurred vision and right facial weakness. mri of the brain and orbits revealed numerous cranial nerve abnormalities. there were no focal brain or spinal cord lesions. cerebral spinal fluid flow cytometry revealed a monoclonal population of b-lymphoid cells. no other evidence of disease was found. serum lyme antibody was reported to be igm positive. therapy with ceftriaxone, was followed by improvement in his symptoms. although flow ...200717661209
erythema migrans mimicking cervical cellulitis with deep neck infection in a child with lyme disease.in the early stage of lyme disease, atypical lesions of erythema migrans rash can develop and extend over the neck region, mimicking cervical cellulitis with deep neck infection. here, we report a 9-year-old taiwanese boy with a recent history of exposure to deer during his visit to nanto county in central taiwan. cervical cellulitis with lymphadenitis was initially diagnosed. erythema migrans developed in the following days and lyme disease was finally diagnosed by a western immunoblot test. al ...200717660148
[an unusual cause of complete atrioventricular block--a case report].complete atrioventricular block is a serious disorder, since patients may be asymptomatic. however, it is an important risk for sudden cardiac death.200917633901
[cardiac involvement in lyme disease].cardiac manifestations of lyme borreliosis are relatively infrequent, occurring within weeks after the infectious tick bite (median of 21 days), and resulting at this stage from a direct borrelial infection of the myocardium, as indicated by reports of spirochete isolation from pericardium and myocardium. they may persist or appear in the late, tertiary phase of the illness, being then more likely due to infection-triggered autoimmunity. lyme carditis typically presents with a fluctuating degree ...200717629649
jama patient page. lyme disease. 200717579234
does this patient have erythema migrans?erythema migrans, while not pathognomonic, is the most common manifestation of early lyme disease. accurate diagnosis of this rash is essential to initiating appropriate antibiotic therapy.200717579230
[erythema migrans and lyme disease]. 200717578023
treatment of lyme disease. 200717565335
lyme disease associated with postganglionic horner syndrome and raeder paratrigeminal neuralgia.a 55-year-old woman developed severe unilateral headaches, periocular numbness, and horner syndrome after presenting with symptoms consistent with lyme disease. the combination of horner syndrome and periocular headache and numbness constituted a diagnosis of raeder paratrigeminal neuralgia. although the headaches resolved with antibiotic treatment, the horner syndrome persisted for at least 1 year. this case expands the spectrum of neurologic manifestations of lyme disease to include postgangli ...200717548997
consequences of treatment delay in lyme disease. 200717518818
a controlled trial of a novel primary prevention program for lyme disease and other tick-borne illnesses.to evaluate a theory-based educational program to prevent lyme disease and other tick-borne illnesses (tbi), a randomized controlled trial of an educational program was delivered to ferry passengers traveling to an endemic area in southeastern massachusetts. rates of tbi and precautionary and tick check behaviors were measured over three summers in 30,164 passengers. there were lower rates of tbi among participants receiving tbi education compared with control participants receiving bicycle safe ...200717468463
[antibiotherapy for early localized lyme disease].the aim of this article is to provide clinicians with guidelines for the antibiotherapy of early-localized lyme disease. the outcome measures are the clearance of erythema migrans and associated symptoms of early localized lyme disease and the prevention rate of late complications, with a low risk of adverse effects. design. the reviewed studies were selected by medline with the keywords: "erythema migrans, treatment". sixteen studies comparing treatment or duration of treatment were analyzed.200717412541
lyme disease trends: delaware, 2000 - 2004.lyme disease is the most common vector-borne disease in the united states, with 19,804 cases reported in 2004. during 1992-1998, delaware was among the top 10 states with the highest incidence rates in the united states. we analyzed delaware lyme disease surveillance data for the reporting period of 2000-2004 to characterize trends, identify populations at high risk, examine the frequency of the major clinical features of disease, and report antibiotic usage patterns among reporting clinicians.200717393940
[ocular manifestations of lyme disease].despite the wide spectrum of clinical entities, eye involvement remains a rare event in patients with lyme borreliosis. most of ocular manifestations occur during the late phase of the disease. the infection needs to be considered along with more conventional causes of ocular inflammation, particularly in regions where lyme disease is common. the pathogenesis of this condition remains controversial. direct ocular infection and a delayed hypersensitivity mechanism may be involved at different dis ...200717376626
[clinical manifestations and epidemiological aspects leading to a diagnosis of lyme borreliosis: neurological and psychiatric manifestations in the course of lyme borreliosis].lyme disease is associated with various systemic and neurological manifestations. the neurological and psychiatric manifestations of lyme disease are more frequently observed during its secondary phase (stage 2) than during its late tertiary phase (stage 3). in stage 2, cerebrospinal fluid and bacterial tests are consistent with the ongoing infection. painful meningoradiculitis, encephalomyelitis and encephalitis, and symptoms of depression are the most characteristic at this stage. the diagnosi ...200717368785
spirochete infections: lyme disease and southern tick-associated rash illness.this article describes the etiology, symptoms and stages, pathophysiology, diagnosis, treatment, and prevention of lyme disease and a cluster of similar symptoms called "southern tick-associated rash illness." it is important for the critical care nurse to be alert to the possibility of these infections because some of the symptoms can have devastating effects on the heart and meninges. in some cases lyme disease may be a comorbidity, not the primary reason a patient is admitted to an icu. the c ...200717338948
[bilateral facial nerve paralysis-diagnosis and treatment].to observe the ways of diagnosis and treatment of bilateral facial nerve palsy.200617283534
[clinical analysis of patients with peripheral facial palsy].peripheral facial palsy is one of the most frequent neurological symptoms. in two thirds of the cases the cause is unknown, this is called "idiopathic peripheral facial palsy or bell's palsy", but several different diseases have to be considered in the differential diagnosis. in this paper we reviewed the case histories of 110 patients treated for "peripheral facial palsy" in the department of neurology, semmelweis university, budapest in a five year period, 2000-2004. we studied the age, gender ...200617203875
strategies for primary and secondary prevention of lyme disease.lyme disease (borreliosis) incidence continues to increase despite a growing knowledge of primary and secondary prevention strategies. primary prevention aims to reduce the risk of tick exposure and thereby decrease the incidence of new lyme disease cases. secondary prevention targets the development of disease or reduces disease severity among people who have been bitten by infected ticks. numerous prevention strategies are available, and although they vary in cost, acceptability and effectiven ...200717203005
lyme disease in pregnancy: case report and review of the literature.lyme disease is the most common vector-borne disease in the united states. a number of other spirochetal diseases, if contracted in pregnancy, have been shown to cause fetal harm and there is concern over a similar effect with gestational borreliosis. previously published individual case reports have suggested a possible association between gestational borreliosis and adverse pregnancy outcome; however, no specific pattern of teratogenicity has been shown, and a causal relationship has never bee ...200717176487
reinfection and relapse in early lyme disease.to determine whether recurrent episodes of appropriately treated lyme disease are caused by reinfection or relapse, we monitored pertinent clinical manifestations and serology of residents of an endemic site each year for 14 years. of 253 episodes of early lyme disease recorded among 213 residents, we observed 40 recurrent episodes. virtually all included an erythema migrans (em) rash that appeared at body sites that differed from those of the initial rash, no subjects produced detectable levels ...200617172372
by the way, doctor. i was vaccinated against lyme disease in 2000. do i still need to be careful about tick bites? 200617120334
poison safety. warnings about accidental poisonings: triaminic vapor patch...and wellpatch cough and cold soothing vapor pads...warning about alternative treatment for lyme disease. 200617111480
descriptive epidemiology of lyme disease in ontario: 1999-2004. 200617086677
[bilateral papilloedema as the initial symptom of poems syndrome].oedema of the papilla, or papilloedema, is usually due to intracranial hypertension, but can sometimes be the initial symptom of systemic diseases like guillain-barre syndrome, neurosarcoidosis, leber's disease, lyme disease or poems syndrome, among others. we report on a case that occurred at the hospital general universitario in alicante, in which papilloedema was the initial symptom of poems syndrome.200917072808
natural history and long-term consequences of lyme disease in children.lyme disease is the most common vector-borne infection affecting children living in temperate parts of the western hemisphere. the widespread anxiety about the long-term consequences of the illness, however, finds no support in the literature. although the number of long-term follow-up studies is limited, the prognosis in children treated for lyme disease seems to be extremely favourable.199917035790
[ultrasonography in diagnosing lyme arthritis of the knee joints in correlation with anti-ccp antibodies].lyme disease, a multi-system disorder may be associated with arthritis. lyme arthritis most commonly affects the knee joints. ultrasonography can show the inflammation changes of the knee joint and can be a usefull method in diagnosis of lyme arthritis. the most freguent ultrasonographic finding was knee joint effusion. because of lyme arthritis similarities to rheumatoid arthritis, a serologic test antibodies against cyclic cytrulinated peptid (anty ccp) can be helpfull in distinguishing of the ...200616909773
lyme carditis: persistent local delayed enhancement by cardiac magnetic resonance imaging.lyme borreliosis (lb) is the most common tick-born disease in the northern hemisphere. during early disseminated lyme disease cardiac manifestation can occur. we report a case of isolated lyme myocarditis with transitory total atrioventricular (av)-block and myocardial necrosis indicated by a rise in troponin-t (tnt). antibiotic treatment resulted in complete resolution of the av-block, but a local epimyocardial contrast enhancement persisted as shown by cardiac magnetic resonance imaging (mri).200716904215
spatiotemporal bayesian analysis of lyme disease in new york state, 1990-2000.mapping ordinarily increases our understanding of nontrivial spatial and temporal heterogeneities in disease rates. however, the large number of parameters required by the corresponding statistical models often complicates detailed analysis. this study investigates the feasibility of a fully bayesian hierarchical regression approach to the problem and identifies how it outperforms two more popular methods: crude rate estimates (cre) and empirical bayes standardization (ebs). in particular, we ap ...200616892639
an evaluation of a lyme disease prevention program in a working population.lyme disease vaccine was offered to new york state department of health employees considered at risk for lyme disease because of their job duties. this evaluation was conducted to assess (1) attitudes that affected employees' decisions to accept or decline the vaccine, (2) preventive behaviors among employees who received the vaccine, and (3) effectiveness of the educational modalities offered in improving knowledge of lyme disease and lyme disease vaccine.200716871815
[the public health risk of ticks and tick-borne diseases in the south-eastern poland].the aim of the study was to estimate risk of tick-borne diseases among inhabitants of lublin macroregion. the incidence of lyme disease in the residents of lubelskie voivodeship increased from 2.9 to 6.3 in the period between 2002 and 2003. in 16% of patients studied there were systemic reactions observed after tick bite, while the local symptoms were noted in 56% of bitten subjects. our data indicates that 59% of the respondents have poor knowledge of ticks and tic-borne diseases.200416859031
clinical practice. early lyme disease. 200616807416
promoting specialty care for lyme disease: lessons learned. 200616764303
lyme disease presenting with sequential episodes of ruptured baker cysts. 200616755252
subretinal fibrosis and uveitis syndrome associated with ulcerative colitis.we report a case of subretinal fibrosis and panuveitis syndrome as an extraintestinal manifestation of ulcerative colitis.200716721489
[lyme disease part 3: prevention, pregnancy, immunodeficient state, post-lyme disease syndrome]. 200616673725
[lyme disease part 2: clinic and treatment]. 200616673724
[lyme disease part i: epidemiology and diagnosis]. 200616673723
diagnosis of lyme disease.the use of serologic testing and its value in the diagnosis of lyme disease remain confusing and controversial for physicians, especially concerning persons who are at low risk for the disease. the approach to diagnosing lyme disease varies depending on the probability of disease (based on endemicity and clinical findings) and the stage at which the disease may be. in patients from endemic areas, lyme disease may be diagnosed on clinical grounds alone in the presence of erythema migrans. these p ...200616548394
[atrioventricular heart block in lyme disease].lyme disease is the most common tick-borne disease in europe and in the united states. in comparison to dermatological, neurological and rheumatological manifestations, heart disease is quite rare. atrioventricular heart block is nevertheless the most frequent cardiological manifestation. we hereby report the case of a patient with high degree heart block due to lyme disease. we focus on the electrocardiographical evolution during antibiotic therapy, as well as on microbiological and diagnostic ...200616521718
lyme disease testing. 200616500590
co-existance of toxoplasmosis and neuroborreliosis - a case report.the 53-year-old woman was initially diagnosed with multiple sclerosis, despite the fact that she did not really meet the clinical criteria. her only symptoms were clumsiness and weakness of the right extremities. being a veterinary research worker she had been exposed to infectious material. in 1995, she was diagnosed with elisa as having toxoplasmosis and treated as such. in 2002, after the infectious, flu-like disease, she revealed arthritis and drowsiness, also with memory and language impair ...200516457490
wais-iii and wms-iii performance in chronic lyme disease.there is controversy regarding the nature and degree of intellectual and memory deficits in chronic lyme disease. in this study, 81 participants with rigorously diagnosed chronic lyme disease were administered the newest revisions of the wechsler adult intelligence scale (wais-iii) and wechsler memory scale (wms-iii), and compared to 39 nonpatients. on the wais-iii, lyme disease participants had poorer full scale and performance iq's. at the subtest level, differences were restricted to informat ...200616433951
current diagnosis and treatment of lyme disease.in more than 80% of cases, lyme disease presents with an erythema migrans rash, but its characteristics can vary. carditis, cranial palsies, lymphocytic meningitis, oligoarticular arthritis are manifestations of disseminated infection. serological tests are helpful, but must be interpreted with caution. standard antibiotic treatment regimens are highly effective.200516407609
prediction of lyme meningitis in children from a lyme disease-endemic region: a logistic-regression model using history, physical, and laboratory findings.differentiating lyme meningitis (lm) from other forms of aseptic meningitis (am) in children is a common diagnostic dilemma in lyme disease-endemic regions. prior studies have compared clinical characteristics of patients with lm versus patients with documented enteroviral infections. no large studies have compared patients with lm to all patients presenting with am and attempted to define a clinical prediction model.200616396843
lyme disease and convergence insufficiency: is it a near fit?the purpose of this study is to determine the prevalence of convergence insufficiency (ci) in patients who have been diagnosed with lyme disease.200621149142
epidemic and spatial dynamics of lyme disease in new york state, 1990-2000.lyme disease (ld) occurrence in new york state (nys) has not only increased over time but also spread throughout the state from the original disease focus in southeastern nys. few studies have investigated this epidemic and spatial dynamic in great detail. using data from the nys department of health lyme registry surveillance system, we summarized epidemic and spatial characteristics of ld in nys for the 11-yr time period from 1990 through 2000. new epidemiological trends associated with age, s ...200516363174
rash decisions about southern tick-associated rash illness and lyme disease. 200616355350
[late manifestations of lyme borreliosis].month to years after an early local or an early disseminated infection some patients develop late manifestations of lyme borreliosis. most frequently involved organs are the skin (acrodermatitis chronica atrophicans), joints (lyme arthritis) and the nervous system. a history of exposure and the clinical picture may suggest lyme borreliosis, however, confirmation by serological and other tests is needed. antibiotic treatment during early stages normally prevents development of late manifestations ...200516350537
review of treatment options for lyme borreliosis.lyme borreliosis (lyme disease) is the most common tick-borne bacterial infection and the incidence is increasing in parts of europe and the usa. prompt antimicrobial therapy using oral agents such as doxycycline or amoxicillin is successful among more than 90% of patients. inadequate penetration of oral agents into the cns may result in the development of overt neuroborreliosis. the parenteral agent ceftriaxone is the drug of choice for severe acute and chronic infections, due to good penetrati ...200516315580
occupational disease in connecticut: 2002.data on chronic work-related conditions were compiled for connecticut for 2002 from physician reports to the occupational disease surveillance system (odss), the workers' compensation (wc) commission, and the bureau of labor statistics (bls)/ connosha survey. physicians reported 2,082 cases of occupational disease in connecticut in 2002, approximately half of the estimate of 4,388 cases using the bls/ connosha methodology. cases in the odss included 921 (44%) reports of musculoskeletal disorders ...200516184858
[complementary to notification required by the national protection against infection act. state-specific mandatory infectious disease notification in saxony-anhalt].in may 1991 a decree supplementing the federal epidemic law concerning the mandatory notification of communicable diseases was implemented by the ministry of health in saxony-anhalt. this was updated and newly implemented in 1997. with implementation of the national protection against infection act in 2001 further amendment of the state regulation (published in april 2005) be came necessary. the following diseases or laboratory evidence of the underlying pathogens, respectively, will now be noti ...200516160886
rash decisions: lyme disease, or not? 200516142660
lyme disease: report of two cases.lyme disease is a tick-borne multisystem disease. it was first described in lyme, connecticut, usa in 1975. cases have been reported in canada, switzerland, austria, australia and great britain. it is an inflammatory disease that has varied clinical manifestations ranging from skin rash (erythema migrans), arthritis, fibromyalgia, and regional lymphadenopathy, cardiac conduction defects to neurological manifestations of meningoencephalitis, bell's palsy, peripheral neuropathy, and painful radicu ...200516119758
posttreatment chronic lyme disease--what it is not. 200516107945
diaphragmatic paralysis and respiratory failure as a complication of lyme disease. 200516107377
lyme disease: what you should know. 200516050455
diagnosis of lyme disease.the use of serologic testing and its value in the diagnosis of lyme disease remain confusing and controversial for physicians, especially concerning persons who are at low risk for the disease. the approach to diagnosing lyme disease varies depending on the probability of disease (based on endemicity and clinical findings) and the stage at which the disease may be. in patients from endemic areas, lyme disease may be diagnosed on clinical grounds alone in the presence of erythema migrans. these p ...200516050454
lyme disease. 200516001769
lyme risk for immigrants to the united states: the role of an educational tool.new immigrants to lyme-endemic areas of the united states are unaware of this infection. this study, which took place in a community with a large population of new immigrants, demonstrated a lack of awareness of lyme disease. a short educational tool was proven effective in increasing recognition.200915996445
inaccurate information about lyme disease on the internet. 200515933581
hospitalisation due to lyme disease: case series in british forces germany. 200515912690
treatment of lyme disease.new medical letter recommendations for prophylaxis and treatment.200515912123
mri features of lyme arthritis in children.oligoarthritis is the most common manifestation of late lyme disease in children. considerable overlap can occur in the clinical presentation of lyme arthritis and acute septic arthritis. early differentiation is critical, given the disparate therapeutic implications; lyme arthritis is treated with outpatient oral antibiotics, while septic arthritis requires hospitalization, iv antibiotics, and, often, surgical drainage. we wanted to identify mri features that may distinguish lyme arthritis from ...200515908551
lyme disease. 200415865708
atrioventricular conduction disturbances secondary to lyme disease. 200515860398
[lyme disease in cuba? report of possible cases].two possible cases of lyme disease, which has not been reported in cuba, but whose existence has been suspected for some years, are reported. these cases that were bitten by ticks and presented signs and symptoms compatible with this disease, according to literature, were serologically confirmed by different laboratory techniques (indirect immunofluorescence, elisa and western blotting). the results suggest the presence of this borreliosis in cuba.200915849952
constipation heralding neuroborreliosis: an atypical tale of 2 patients.this is a report of 2 patients with lyme disease who initially presented with severe constipation, which progressed to ascending muscular weakness resembling acute idiopathic polyneuritis, with neuropsychiatric symptoms, severe urinary retention, and hyponatremia. these symptoms resolved following proper antibiotic therapy.200515824271
patient education series. lyme disease. 200515818253
[infectious diseases in the ambulatory care setting].hot topics in infectiology mainly include emerging diseases, particularly those caused by antibiotic-resistant bacteria. prudent use of antibiotics is therefore mandatory. among new classes of antibiotics for outpatients therapy are linezolid (for resistant, gram-positive bacterial, and telithromycine (for treatment of respiratory tract infections). this review also addresses the following topics: short course of doxycycline for treatment of early lyme disease in adults, recommendations against ...200515773214
poly-ticks, politics, and lyme disease. 201515752526
is gulf war syndrome actually chronic lyme disease?symptoms of gulf war syndrome and chronic lyme disease are very similar. lyme disease is a condition which can be difficult to diagnose since one of the main features of the condition, the erythema migrans rash, may be absent or overlooked and serological testing for lyme disease may be falsely negative. symptoms of lyme disease may not became apparent until years after exposure to the causative organism. military personnel during training in the field are at risk of tick bites and it may be tha ...200515694687
[diagnosing lyme disease: the role of clinical and complementary examination]. 200415676257
the therapy of lyme neuroborreliosis.the challenge for the neurologist in the treatment of lyme neuroborreliosis is not in the treatment per se, but in the diagnosis. neurological manifestations of lyme disease can present in many forms, and diagnostic techniques which detect the spirochete directly; the culture or polymerase chain reaction of the spirochete in cerebrospinal fluid, are of disappointingly low yield. therefore, the diagnosis is frequently not easy. after the diagnosis is made, antibiotic therapy is straightforward; l ...200515676120
a qualitative approach to understanding patients' diagnosis of lyme disease.the purpose of this study was to explore the lived experience of becoming diagnosed with lyme disease.201416460417
lyme disease testing. 200616500588
lyme disease testing. 200616500589
poly-ticks: blue state versus red state for lyme disease. 201515664208
inaccurate information about lyme disease on the internet.patients and families searching the internet about lyme disease may find conflicting information. our purpose was to review the accuracy of information on lyme disease easily available on the internet.200415626946
unusual musculoskeletal manifestations of lyme disease.we report on the imaging features of musculoskeletal abnormalities in a 52-year-old woman suffering from lyme disease presenting with acrodermatitis chronica atrophicans (aca). the patient developed recurrent attacks of migratory asymmetrical oligoarthritis, involving articular and peri-articular structures, including the metatarsophalageal (mtp) joints, scapular bone, thoracic spine, elbow, gluteal area, knee, ankle and metacarpophalangeal (mcp) joints. six months after the first symptoms, magn ...200415587559
evidence-based guidelines for the management of lyme disease.this report, completed in november 2003, is intended to serve as a resource for physicians, public health officials and organizations involved in the evaluation and treatment of lyme disease.200415581390
diagnosis and management of multiple sclerosis.multiple sclerosis, an idiopathic inflammatory disease of the central nervous system, is characterized pathologically by demyelination and subsequent axonal degeneration. the disease commonly presents in young adults and affects twice as many women as men. common presenting symptoms include numbness, weakness, visual impairment, loss of balance, dizziness, urinary bladder urgency, fatigue, and depression. the diagnosis of multiple sclerosis should be made by a physician with experience in identi ...200415571060
lyme disease. 200315555127
guide to care for patients: lyme disease. 200415553917
lyme disease: knowledge is the best prevention. 200415553916
[the organic disorders in the course of lyme disease].in the last decade the number of patients with lyme disease has been continuously growing worldwide including poland. psychiatric examinations with the help of psychometric tests were performed in the group of 77 patients with arthritis, in 20 with neuroborreliosis and 26 with erythema migrans. first evaluations started before antibiotic therapy, second 5-6 months after the treatment, third one year since the first assessment. mental state examinations and psychometric testing revealed in majori ...200415517926
[ataxic sensory neuropathy and lyme disease].the clinical spectrum of peripheral neuropathies in lyme disease is very wide. we report a case which was revealed by an ataxic sensory neuropathy.200415454872
a 17-year-old boy previously diagnosed with chronic lyme disease. patient complained of low-grade fevers, headaches, pharyngitis, and suspected his mother was trying to poison him. 200415354601
Displaying items 14401 - 14500 of 15661