The Lyme Disease Network
Medical / Scientific Abstract


Title:Lyme disease in a 74-year-old forest owner with symptoms of dermatomyositis.
Authors:Hoffmann JC, Stichtenoth DO, Zeidler H, Follmann M, Brandis A, Stanek G, Wollenhaupt J
Source:Arthritis Rheum 1995 Aug;38(8):1157-60
Organization:Zentrum Innere Medizin und Dermatologie, Medizinische Hochschule Hannover, Germany.

Abstract:
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.

Keywords:
Aged, Biopsy, Borrelia burgdorferi, ISOLATION & PURIF, Case Report, Dermatomyositis, COMPLICATIONS, DIAGNOSIS, Diagnosis, Differential, Electromyography, Environmental Exposure, Human, Lyme Disease, COMPLICATIONS, DIAGNOSIS, Male, Muscle, Skeletal, MICROBIOLOGY, PATHOLOGY, Skin, MICROBIOLOGY, PATHOLOGY, Trees

Language: Eng

Unique ID: 95367080


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