Sigal L H, Patella S J
Department of Medicine, University of Medicine and Dentistry of New Jersey-Robert Wood Johnson Medical School, New Brunswick.
Pediatrics. 1992 Oct;90(4):523-8.
In areas endemic for Lyme disease there is increasing concern and anxiety about possible chronic and untreatable manifestations of the disease. The authors have diagnosed fibromyalgia in many patients with chronic musculoskeletal complaints in whom chronic Lyme arthritis had previously been diagnosed as the cause of their joint pains. Fibromyalgia is a common disorder, causing arthralgia (not true arthritis), fatigue, and debility. The repeated and/or long-term antibiotic therapy prescribed for "chronic Lyme disease" is not successful in curing the symptoms of fibromyalgia. Especially in areas where anxiety about Lyme disease is great, it is important to be careful in diagnosing chronic Lyme disease. Fibromyalgia is a potentially treatable and curable cause of chronic complaints and should be considered in the differential diagnosis of "refractory Lyme arthritis."
在莱姆病的地方性流行地区，人们对该疾病可能出现的慢性且无法治愈的症状越来越担忧和焦虑。作者在许多有慢性肌肉骨骼症状的患者中诊断出了纤维肌痛，这些患者之前曾被诊断为慢性莱姆关节炎是其关节疼痛的病因。纤维肌痛是一种常见疾病，会导致关节痛（并非真正的关节炎）、疲劳和身体虚弱。为“慢性莱姆病”开具的反复和/或长期抗生素治疗并不能成功治愈纤维肌痛的症状。特别是在对莱姆病高度焦虑的地区，谨慎诊断慢性莱姆病很重要。纤维肌痛是慢性症状的一个潜在可治疗和可治愈的病因，在“难治性莱姆关节炎”的鉴别诊断中应予以考虑。
