Correa-Selm Lilia M, Bronsnick Tara, Rao Babar K, Kirkorian A Yasmine, Marcus Alan, Cha Jisun
Department of Dermatology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
Pathology, Robert Wood Johnson Medical School, Rutgers University, New Brunswick, NJ.
Skinmed. 2016 Jun 1;14(3):217-9. eCollection 2016.
A 70-year-old man was referred by his rheumatologist to our dermatology clinic for evaluation of dermatitis on his right arm that appeared 3 months earlier. The skin lesion was asymptomatic and the patient denied current systemic symptoms, including fever, chills, and joint pain; however, 10 months prior to this presentation he experienced arthritis in the left knee. At that time, Borrelia serology revealed positive IgG (6.07; <0.8 negative, 0.8 to 0.99 borderline, ≥1 positive) and negative IgM titers. The patient had not received treatment for Lyme disease in the past. He was referred to rheumatology for evaluation of possible Lyme disease but did not follow up until 10 months later. The arthritis has since resolved. He travels frequently to France and recalls multiple tick bites during these trips.
一名70岁男性被其风湿病医生转诊至我们的皮肤科诊所，以评估其3个月前出现在右臂的皮炎。皮肤病变无症状，患者否认目前有包括发热、寒战和关节疼痛在内的全身症状；然而，在此次就诊前10个月，他曾出现左膝关节炎。当时，伯氏疏螺旋体血清学检查显示IgG阳性（6.07；<0.8为阴性，0.8至0.99为临界值，≥1为阳性），IgM滴度为阴性。该患者过去未接受过莱姆病治疗。他被转诊至风湿病科评估可能的莱姆病，但直到10个月后才进行随访。此后关节炎已痊愈。他经常前往法国，并回忆起在这些旅行中有多次蜱虫叮咬史。
