LYME-DISEASE IN A 74-YEAR-OLD FOREST OWNER WITH SYMPTOMS OF DERMATOMYOSITIS

被引：24

作者：

HOFFMANN, JC ^{[1
]}

STICHTENOTH, DO ^{[1
]}

ZEIDLER, H ^{[1
]}

FOLLMANN, M ^{[1
]}

BRANDIS, A ^{[1
]}

STANEK, G ^{[1
]}

WOLLENHAUPT, J ^{[1
]}

机构：

[1] UNIV VIENNA, INST HYG, VIENNA, AUSTRIA

来源：

ARTHRITIS AND RHEUMATISM | 1995年 / 38卷 / 08期

关键词：

D O I：

10.1002/art.1780380820

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We describe a 73-year-old forest owner with widespread erythema, myalgia, and proximal muscle weakness, The clinical signs and the results of electromyography, magnetic resonance imaging, and a muscle biopsy were consistent with dermatomyositis, However, serology was positive for Borrelia burgdorferi. More importantly, B burgdorferi DNA was detected in skin by polymerase chain reaction techniques, and spirochete-like organisms were detected in the muscle by silver staining. Lyme disease with muscle involvement can mimic or trigger dermatomyositis and should be considered in the differential diagnosis of dermatomyositis.

引用

页码：1157 / 1160

页数：4

共 21 条

[1] LYME MYOSITIS - MUSCLE INVASION BY BORRELIA-BURGDORFERI [J].