To prospectively study the prevalence of Lyme arthritis, 100 consecutive patients referred to a rheumatology out-patient clinic and 115 patients with a classified rheumatological disease were included.
Individuals seropositive for antibody against the Borrelia burgdorferi sensu lato complex were examined for clinical signs or a history of Lyme borreliosis.
Positive titres against B. burgdorferi s.l. were found in 7/100 and 15/115 respectively.
Among the 100 referred patients, Lyme arthritis was diagnosed in five cases.
Carpal tunnel syndrome was the presenting clinical feature in two of them.
One of the 115 individuals with a previously classified rheumatological disease was re-classified as Lyme arthritis.
All cases of Lyme arthritis improved after oral antibiotic treatment.
This study revealed Lyme arthritis to be a common disorder in this part of Sweden and the diagnosis should be considered in patients with acute or recurrent episodes of mono-or oligoarthritis.
Mots-clés Pascal : Lyme maladie, Borréliose, Spirochétose, Bactériose, Infection, Homme, Epidémiologie, Suède, Europe, Endémie, Arthrite, Polyarthrite inflammatoire, Système ostéoarticulaire pathologie
Mots-clés Pascal anglais : Lyme disease, Borrelia infection, Spirachaetosis, Bacteriosis, Infection, Human, Epidemiology, Sweden, Europe, Endemy, Arthritis, Inflammatory polyarthritis, Diseases of the osteoarticular system
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 96-0418133
Code Inist : 002B05B02L6. Création : 10/04/1997.