The underdiagnosis of neuropsychiatric Lyme disease in children and adults

被引:40
作者
Fallon, BA
Kochevar, JM
Gaito, A
Nields, JA
机构
[1] New York State Psychiat Inst, Lyme Dis Res Program, New York, NY 10032 USA
[2] Columbia Univ, Dept Psychiat, Med Ctr, New York, NY 10027 USA
[3] Seton Hall Univ, Dept Med, S Orange, NJ 07079 USA
[4] Yale Univ, Sch Med, Dept Psychiat, New Haven, CT USA
关键词
D O I
10.1016/S0193-953X(05)70032-0
中图分类号
R749 [精神病学];
学科分类号
100205 ;
摘要
Lyme Disease has been called "The New Great Imitator," a replacement for that old "great imitator" neurosyphilis. This article reviews the numerous psychiatric and neurologic presentations found in adults and children. It then reviews the features of Lyme Disease, which makes it almost uniquely hard to diagnose, including the complexity and unreliability of serologic tests. Clinical examples follow that illustrate those presentations of this disease that mimic attention deficit hyperactivity disorder (ADHD), depression, and multiple sclerosis.
引用
收藏
页码:693 / +
页数:12
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