دورية أكاديمية

[Lyme arthritis].

التفاصيل البيبلوغرافية
العنوان: [Lyme arthritis].
عنوان ترانسليتريتد: L'arthrite de Lyme.
المؤلفون: Caroit M
المصدر: Revue du rhumatisme et des maladies osteo-articulaires [Rev Rhum Mal Osteoartic] 1987 Feb; Vol. 54 (2), pp. 97-103.
نوع المنشور: Comparative Study; English Abstract; Journal Article
اللغة: French
بيانات الدورية: Publisher: Expansion Scientifique Francaise Country of Publication: France NLM ID: 0407211 Publication Model: Print Cited Medium: Print ISSN: 0035-2659 (Print) Linking ISSN: 00352659 NLM ISO Abbreviation: Rev Rhum Mal Osteoartic Subsets: MEDLINE
أسماء مطبوعة: Publication: Paris : Expansion Scientifique Francaise
Original Publication: Paris, Expansion scientifique française [etc.]
مواضيع طبية MeSH: Arthritis, Infectious/*epidemiology , Lyme Disease/*epidemiology, Arthritis, Infectious/diagnosis ; Arthritis, Infectious/etiology ; Erythema/etiology ; Europe ; Humans ; Insect Vectors ; Lyme Disease/diagnosis ; Lyme Disease/drug therapy ; Nervous System Diseases/etiology ; Serologic Tests ; Ticks/microbiology ; United States
مستخلص: Infection by spirochete Borrelia burgdorferi is mainly observed in the United States where it has taken the name of Lyme's disease, and in Europe. Its evolution may be very extended, in several phases. A few weeks after a tick-bite, the primary lesion appears, which is a chronic migrating erythema. In the following weeks or months, in the secondary phase, nerve lesions may appear, quite similar in Europe and in the United States, and cardiac lesions, mostly seen in the United States. In the following weeks, months, or years, during the tertiary phase, articular lesions may appear, frequent in the United States, much more unusual in Europe. Several years later, chronic lesions of the central nervous system may appear, described in the United States, and chronic skin lesions such as chronic atrophying acrodermatitis sometimes associated with destructive lesions of the joints underlying the skin lesion, which are only recognized in Europe. The discovery of the spirochete in a small number of these lesions, including the latest in the evolution, permits to think that, throughout this evolution, this disease is secondary to the persistence of the germ within the body; this explains the efficacy of the penicillin treatment, including in the oldest forms of the disease. Serology is quite reliable; but it becomes positive only 2 to 4 weeks after the onset of the chronic migrating erythema: needless to say the importance of this single cutaneous lesion which enables to make the diagnosis and requires the use of a tetracycline or penicillin treatment.
تواريخ الأحداث: Date Created: 19870201 Date Completed: 19870427 Latest Revision: 20061115
رمز التحديث: 20221213
PMID: 3563386
قاعدة البيانات: MEDLINE