Stanek Gerold, Strle Franc
Medical University of Vienna, Clinical Institute of Hygiene and Medical Microbiology, Vienna, Austria.
Infect Dis Clin North Am. 2008 Jun;22(2):327-39, vii. doi: 10.1016/j.idc.2008.01.001.
The main clinical features of Lyme borreliosis seem to be the same in Europe and North America; however, the course of erythema migrans is distinct, with multiple erythema migrans and hematogeneous dissemination in early Lyme borreliosis less frequently observed in Europe. Moreover, the skin manifestations borrelial lymphocytoma and acrodermatitis chronica atrophicans are apparently European phenomena. Meningoradiculoneuritis in Lyme neuroborreliosis, with its severe radicular pain, is more prominent in Europe. Similar difficulties exist on both sides of the Atlantic with the serologic diagnosis of Lyme borreliosis.
莱姆病的主要临床特征在欧洲和北美似乎相同；然而，游走性红斑的病程有所不同，欧洲早期莱姆病中较少观察到多发性游走性红斑和血行播散。此外，皮肤表现如疏螺旋体淋巴细胞瘤和慢性萎缩性肢皮炎显然是欧洲特有的现象。莱姆神经疏螺旋体病中的脑脊神经根神经炎及其严重的神经根疼痛在欧洲更为突出。在大西洋两岸，莱姆病的血清学诊断都存在类似的困难。
