Tincup
Honored Contributor (10K+ posts)
Member # 5829
posted
JBR-BTR. 2004 Sep-Oct;87(5):224-8.
Unusual musculoskeletal manifestations of Lyme disease.Schmitz G, Vanhoenacker FM, Gielen J, De Schepper AM, Parizel PM.
Department of Radiology, University Hospital Antwerp, Antwerp, Belgium.
We report on the imaging features of musculoskeletal abnormalities in a 52-year-old woman suffering from Lyme disease presenting with acrodermatitis chronica atrophicans (ACA).
The patient developed recurrent attacks of migratory asymmetrical oligoarthritis, involving articular and peri-articular structures, including the metatarsophalageal (MTP) joints, scapular bone, thoracic spine, elbow, gluteal area, knee, ankle and metacarpophalangeal (MCP) joints.
Six months after the first symptoms, Magnetic Resonance Imaging (MRI) showed bone marrow oedema within the proximal phalanx of the right fifth toe, adjacent to an ACA rash.
A year after the onset of the disease, swelling at the right scapular region occurred, and MRI showed osseous, periosteal and soft tissue involvement of the superior margin of the right scapula and adjacent rib.
On MRI of the spine, there was bone marrow infiltration with irregular delineation of the anterior corner of the thoracic vertebrae 4 to 6, corresponding to an osteoblastic bony lesion on radiographic examination.
This case report is unique, because MRI documentation of bony abnormalities and periarticular soft tissue swelling, accompanying an attack of ACA has never been reported previously.
Moreover, involvement of the osseous spine and the scapular bone have never been described in the radiological literature.
posted
I had a huge, warm lump above my right knee, in the femur bone. This happened suddenly (in the same hour) as Bell's palsy, arthritis in my right knee and shoulder, severe muscle pain and nearly all of my Lyme signs and symptoms.
Eventually, I was diagnosed with a bone infarct in the femur. (It's not cancer.)
According to the above paper, possibly it could be caused by Lyme. But I also understand it could be caused by bartonella.
posted
My son had a lot of pain in both feet after playing soccer last Labor Day. Eventually the orthopedic doctor did an MRI and he had bone marrow edema (calcaneous and some tarsal bones) and a stress fracture in the left foot (the only one he did an MRI on). He stopped all sports activities until Thanksgiving. When he started to run again the pain was still present and bone marrow edema was found in the other foot.
By this time his knees were also hurting and the orthopedic doc had run a screening test for Lyme which was positive. My son had Lyme in 2002 and I guess it never was completely treated. We ran back to our LLMD.
He has been clinically diagnosed with Bartonella also. He has developed a large deformed barrel chest over the years. I wonder if that is also related to the Lyme/Bart?
--Judy
Posts: 67 | From Maryland | Registered: Jun 2003
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daise
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Judy
I'm sorry to hear your son, you and your family have gone through this.
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