Gerster J C
Schweiz Rundsch Med Prax. 1989 May 23;78(21):614-6.
Eight cases of Lyme's arthritis are reported. In four of them, they are related to an erythema chronicum migrans, in two to an acrodermatitis atrophicans. In two cases, there was no cutaneous manifestation, but the serology was strongly positive for Borrelia burgdorferi, and there was rapid relief of the pain with antibiotic therapy. It is suggested that Lyme's arthritis is not rare in Switzerland and that it must be searched for in every case of arthritis of unknown etiology, especially when there is a history of cutaneous involvement. The arthritis is cured by antibiotics.
报告了8例莱姆关节炎病例。其中4例与慢性游走性红斑有关,2例与萎缩性肢端皮炎有关。2例无皮肤表现,但伯氏疏螺旋体血清学检测呈强阳性,抗生素治疗后疼痛迅速缓解。提示莱姆关节炎在瑞士并不罕见,对于每例病因不明的关节炎病例都必须进行排查,尤其是有皮肤受累病史的情况。抗生素可治愈该关节炎。