莱姆病：加拿大皮肤科医生的最新资讯。
Lyme borreliosis: an update for Canadian dermatologists.
机构信息
Department of Medicine, University of Saskatchewan, Saskatoon, Canada.
出版信息
J Cutan Med Surg. 2013 Jan-Feb;17(1):13-21. doi: 10.2310/7750.2012.11112.
BACKGROUND
Lyme borreliosis is a multisystemic tick-borne spirochetosis, which may result in dermatologic, musculoskeletal, cardiovascular, and neurologic manifestations.
OBJECTIVE
Patients with suspected acute Lyme borreliosis infection may be referred for urgent dermatologic review. Canadian dermatologists should be aware of the latest information regarding the diagnosis and management of Lyme borreliosis.
METHODS
This review is based on a PubMed database search combining the word "Lyme" with variations of the word "Canada." Data sources included articles from the fields of ecology, epidemiology, laboratory diagnostics, and clinical management.
CONCLUSION
In this review, the ecological basis of spirochete transmission by tick vectors is described. The latest available Canadian epidemiologic data are summarized. North American clinical manifestations of Lyme borreliosis are contrasted with European presentations. The Canadian Public Health Laboratory Network's diagnostic guidelines are summarized. Finally, treatment recommendations are outlined.
背景
莱姆病是一种多系统的蜱传螺旋体病，可导致皮肤、肌肉骨骼、心血管和神经系统表现。
目的
疑似急性莱姆病感染的患者可能会被转介进行紧急皮肤科检查。加拿大皮肤科医生应了解有关莱姆病诊断和管理的最新信息。
方法
本综述基于 PubMed 数据库搜索，将“Lyme”一词与“Canada”一词的变体相结合。资料来源包括生态学、流行病学、实验室诊断和临床管理领域的文章。
结论
在本综述中，描述了蜱虫传播螺旋体的生态基础。总结了最新的加拿大流行病学数据。对比了北美的莱姆病临床表现与欧洲的表现。总结了加拿大公共卫生实验室网络的诊断指南。最后，概述了治疗建议。
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