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3 / 599 |
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Consultation with a rheumatologist can be helpful. A small percentage of patients may develop a chronic axonal polyneuropathy or encephalopathy late in the illness.
When EM is not present, the diagnosis of Lyme disease should be confirmed by serologic testing, following a positive ELISA test result with a Western blot test...
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This post-Lyme disease syndrome may be indistinguishable from fibromyalgia or chronic pain syndrome and is equally difficult to treat. Two controlled trials have demonstrated conclusively that repeated and prolonged courses of antibiotics are no more effective than placebo.4 Positive serologic test results often persist after antibiotic treatment and do not prove active infection...
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