SIGNIFICANCE OF REACTIVE LYME SEROLOGY IN MULTIPLE-SCLEROSIS

被引:31
作者
COYLE, PK [1 ]
KRUPP, LB [1 ]
DOSCHER, C [1 ]
机构
[1] SUNY STONY BROOK HOSP,CTR MULTIPLE SCLEROSIS COMPREHENS CARE,STONY BROOK,NY
关键词
D O I
10.1002/ana.410340521
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Nineteen of 283 consecutive patients evaluated in the Multiple Sclerosis (MS) Comprehensive Care Center had a borderline or positive B. burgdorferi serology. In 8 patients a repeat serology was nonconfirmatory. Cerebrospinal fluid was examined in 10 seropositive patients and showed anti-B. burgdorferi antibodies without intrathecal production in 5 patients. Antibiotic treatment did not prevent subsequent neurological relapses. The finding of reactive Lyme serology in an MS patient with no suggestive features of the infection is unlikely to indicate neurological Lyme disease.
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页码:745 / 747
页数:3
相关论文
共 16 条
[1]   CHARACTERIZATION OF ANTIGENIC DETERMINANTS OF BORRELIA-BURGDORFERI SHARED BY OTHER BACTERIA [J].
COLEMAN, JL ;
BENACH, JL .
JOURNAL OF INFECTIOUS DISEASES, 1992, 165 (04) :658-666
[2]   PROBLEMS IN THE USE OF SEROLOGIC TESTS FOR THE DIAGNOSIS OF LYME-DISEASE [J].
CORPUZ, M ;
HILTON, E ;
LARDIS, MP ;
SINGER, C ;
ZOLAN, J .
ARCHIVES OF INTERNAL MEDICINE, 1991, 151 (09) :1837-1840
[3]   NEUROLOGIC LYME-DISEASE [J].
COYLE, PK .
SEMINARS IN NEUROLOGY, 1992, 12 (03) :200-208
[4]   BORRELIA-BURGDORFERI ANTIBODIES IN MULTIPLE-SCLEROSIS PATIENTS [J].
COYLE, PK .
NEUROLOGY, 1989, 39 (06) :760-761
[5]  
COYLE PK, 1993, IN RPESS CLIN INFECT
[6]  
Dennis D. T., 1993, Lyme disease., P27
[7]   WESTERN BLOTTING IN THE SERODIAGNOSIS OF LYME-DISEASE [J].
DRESSLER, F ;
WHALEN, JA ;
REINHARDT, BN ;
STEERE, AC .
JOURNAL OF INFECTIOUS DISEASES, 1993, 167 (02) :392-400
[8]  
GAY D, 1986, LANCET, V2, P685
[9]   IMMUNOLOGICAL DIFFERENTIATION BETWEEN NEUROBORRELIOSIS AND MULTIPLE-SCLEROSIS [J].
HELLER, J ;
HOLZER, G ;
SCHIMRIGK, K .
JOURNAL OF NEUROLOGY, 1990, 237 (08) :465-470
[10]  
LAGER SW, 1990, ARCH INTERN MED, V150, P761