Diagnosis and treatment of Lyme arthritis

被引:44
作者
Steere, AC [1 ]
机构
[1] TUFTS UNIV, NEW ENGLAND MED CTR, SCH MED, DEPT RHEUMATOL IMMUNOL, BOSTON, MA 02111 USA
关键词
D O I
10.1016/S0025-7125(05)70510-1
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Lyme arthritis typically causes intermittent attacks of oligoarticular arthritis in a few large joints, especially the knee. A small percentage of patients may develop chronic arthritis. The diagnosis is usually based on the presence of this characteristic clinical picture, exposure in an endemic area, and a positive IgG antibody response to B. burgdorferi determined by ELISA and Western blotting.
引用
收藏
页码:179 / +
页数:1
相关论文
共 91 条
[71]   SUCCESSFUL PARENTERAL PENICILLIN THERAPY OF ESTABLISHED LYME ARTHRITIS [J].
STEERE, AC ;
GREEN, J ;
SCHOEN, RT ;
TAYLOR, E ;
HUTCHINSON, GJ ;
RAHN, DW ;
MALAWISTA, SE .
NEW ENGLAND JOURNAL OF MEDICINE, 1985, 312 (14) :869-874
[72]   THE EARLY CLINICAL MANIFESTATIONS OF LYME-DISEASE [J].
STEERE, AC ;
BARTENHAGEN, NH ;
CRAFT, JE ;
HUTCHINSON, GJ ;
NEWMAN, JH ;
RAHN, DW ;
SIGAL, LH ;
SPIELER, PN ;
STENN, KS ;
MALAWISTA, SE .
ANNALS OF INTERNAL MEDICINE, 1983, 99 (01) :76-82
[73]   ERYTHEMA CHRONICUM MIGRANS AND LYME ARTHRITIS - EPIDEMIOLOGIC EVIDENCE FOR A TICK VECTOR [J].
STEERE, AC ;
BRODERICK, TF ;
MALAWISTA, SE .
AMERICAN JOURNAL OF EPIDEMIOLOGY, 1978, 108 (04) :312-321
[74]   THE OVERDIAGNOSIS OF LYME-DISEASE [J].
STEERE, AC ;
TAYLOR, E ;
MCHUGH, GL ;
LOGIGIAN, EL .
JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 1993, 269 (14) :1812-1816
[75]   LYME-DISEASE [J].
STEERE, AC .
NEW ENGLAND JOURNAL OF MEDICINE, 1989, 321 (09) :586-596
[76]   ERYTHEMA CHRONICUM MIGRANS AND LYME ARTHRITIS - ENLARGING CLINICAL SPECTRUM [J].
STEERE, AC ;
MALAWISTA, SE ;
HARDIN, JA ;
RUDDY, S ;
ASKENASE, PW ;
ANDIMAN, WA .
ANNALS OF INTERNAL MEDICINE, 1977, 86 (06) :685-698
[77]   THE SPIROCHETAL ETIOLOGY OF LYME-DISEASE [J].
STEERE, AC ;
GRODZICKI, RL ;
KORNBLATT, AN ;
CRAFT, JE ;
BARBOUR, AG ;
BURGDORFER, W ;
SCHMID, GP ;
JOHNSON, E ;
MALAWISTA, SE .
NEW ENGLAND JOURNAL OF MEDICINE, 1983, 308 (13) :733-740
[78]   LYME ARTHRITIS - EPIDEMIC OF OLIGOARTICULAR ARTHRITIS IN CHILDREN AND ADULTS IN 3 CONNECTICUT COMMUNITIES [J].
STEERE, AC ;
MALAWISTA, SE ;
SNYDMAN, DR ;
SHOPE, RE ;
ANDIMAN, WA ;
ROSS, MR ;
STEELE, FM .
ARTHRITIS AND RHEUMATISM, 1977, 20 (01) :7-17
[79]   TREATMENT OF LYME ARTHRITIS [J].
STEERE, AC ;
LEVIN, RE ;
MOLLOY, PJ ;
KALISH, RA ;
ABRAHAM, JH ;
LIU, NY ;
SCHMID, CH .
ARTHRITIS AND RHEUMATISM, 1994, 37 (06) :878-888
[80]   SPIROCHETAL ANTIGENS AND LYMPHOID-CELL SURFACE-MARKERS IN LYME SYNOVITIS - COMPARISON WITH RHEUMATOID SYNOVIUM AND TONSILLAR LYMPHOID-TISSUE [J].
STEERE, AC ;
DURAY, PH ;
BUTCHER, EC .
ARTHRITIS AND RHEUMATISM, 1988, 31 (04) :487-495