THE LABORATORY DIAGNOSIS OF LYME-DISEASE

被引:25
作者
BERG, D [1 ]
ABSON, KG [1 ]
PROSE, NS [1 ]
机构
[1] DUKE UNIV, MED CTR, DEPT MED, DIV DERMATOL, BOX 3252, DURHAM, NC 27710 USA
关键词
D O I
10.1001/archderm.127.6.866
中图分类号
R75 [皮肤病学与性病学];
学科分类号
100206 ;
摘要
Growing awareness of Lyme disease, caused by the tick-borne spirochete Borrelia burgdorferi has led to a marked increase in laboratory procedures to help in its diagnosis. Despite the frequent ordering of serologic tests specific for Lyme disease, there remains confusion in the accurate interpretation of these tests. Because of the important cutaneous manifestations of B burgdorferi infection, dermatologists should understand the role of the laboratory in Borrelia-related conditions. This article reviews laboratory techniques available for the diagnosis of Lyme disease. The role of histologic findings and culture, the sensitivity, specificity, and reproducibility of commonly used serologic tests, the effects of disease duration and treatment on serologic results, and the future of laboratory diagnosis are described.
引用
收藏
页码:866 / 870
页数:5
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