Forrester Joseph D, Kugeler Kiersten J, Perea Anna E, Pastula Daniel M, Mead Paul S
Emerg Infect Dis. 2015 Nov;21(11):2036-9. doi: 10.3201/eid2111.150778.
Associations between Lyme disease and certain neurodegenerative diseases have been proposed, but supportive evidence for an association is lacking. Similar geographic distributions would be expected if 2 conditions were etiologically linked. Thus, we compared the distribution of Lyme disease cases in the United States with the distributions of deaths due to Alzheimer disease, amyotrophic lateral sclerosis (ALS), multiple sclerosis (MS), and Parkinson disease; no geographic correlations were identified. Lyme disease incidence per US state was not correlated with rates of death due to ALS, MS, or Parkinson disease; however, an inverse correlation was detected between Lyme disease and Alzheimer disease. The absence of a positive correlation between the geographic distribution of Lyme disease and the distribution of deaths due to Alzheimer disease, ALS, MS, and Parkinson disease provides further evidence that Lyme disease is not associated with the development of these neurodegenerative conditions.
有人提出莱姆病与某些神经退行性疾病之间存在关联,但缺乏相关的支持证据。如果两种疾病在病因上有关联,那么它们的地理分布应该相似。因此,我们比较了美国莱姆病病例的分布与阿尔茨海默病、肌萎缩侧索硬化症(ALS)、多发性硬化症(MS)和帕金森病的死亡分布情况;未发现地理相关性。美国各州的莱姆病发病率与ALS、MS或帕金森病的死亡率无关;然而,在莱姆病与阿尔茨海默病之间发现了负相关。莱姆病的地理分布与阿尔茨海默病、ALS、MS和帕金森病的死亡分布之间不存在正相关,这进一步证明莱姆病与这些神经退行性疾病的发生无关。