Amber Stonehouse MD, , James S. Studdiford MD, FACP� and C. Amber Henry MD
�Department of Family Medicine, Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania Jefferson Medical College, Thomas Jefferson University, Philadelphia, Pennsylvania
Received 21 April 2006; revised 25 January 2007; accepted 17 February 2007. Available online 18 October 2007.
Abstract--
To confidently diagnose and treat Lyme disease, the clinician must first understand the natural history of this disease, especially its protean early manifestations.
Emergency physicians, primary care physicians, and other providers need to be vigilant in terms of the timely recognition of erythema migrans (EM), the unique marker of early localized stage 1 disease.
The classic EM, originally described as a slowly expanding bull's eye lesion, is now recognized to be present in only the minority of cases (9%); the dominant morphologic lesion of EM is now recognized to be the diffusely homogenous red plaque or patch, which occurs in over 50% of cases.
This update will define the current morphologic features of early Lyme disease, the indication for serologic studies, and the most recent treatment guidelines, including therapeutic pitfalls.
Reprint Address: Amber Stonehouse, MD, Family and Community Medicine, Thomas Jefferson University Hospital, 833 Chestnut Street, Suite 301, Philadelphia, PA 19107
Hmmmmm........
-------------------- Note: I'm NOT a medical professional. The information I share is from my own personal research and experience. Please do not construe anything I share as medical advice, which should only be obtained from a licensed medical practitioner. Posts: 4881 | From Middlesex County, NJ | Registered: Jul 2006
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