van der Horst H E
Amsterdam UMC, locatie VUmc, afd. Huisartsgeneeskunde, Amsterdam.
Contact: H.E. van der Horst (
Ned Tijdschr Geneeskd. 2020 Dec 10;164:D5600.
There's an on-going discussion about chronic Lyme Disease: are the persisting symptoms some patients experience due to an inadequately treated Borrelia infection or is something else going on? In 2017 the National Lyme Disease Centre (NLe) has been established in the Netherlands. Two university medical centres, the RIVM and the Lyme Organization participate in the NLe where diagnostics and treatment are offered to patients and research into Lyme disease is carried out. Ideally, collaboration between doctors, researchers and patients leads to research that addresses relevant and urgent questions. Regarding chronic Lyme disease not as a hype but a hypothesis that needs to be verified or falsified, could help both doctors and patients, assuming that they can conclude together that some notions might have seemed rational, but nonetheless have to be discarded based on the results of sound scientific research. That might open new ways to explore treatment of persisting symptoms.
一些患者持续出现的症状是由于伯氏疏螺旋体感染治疗不充分，还是另有其他原因？2017年，荷兰成立了国家莱姆病中心（NLe）。两家大学医学中心，即荷兰国家公共卫生与环境研究所（RIVM）和莱姆病组织参与了该中心的工作，为患者提供诊断和治疗，并开展莱姆病研究。理想情况下，医生、研究人员和患者之间的合作会促成针对相关紧迫问题的研究。将慢性莱姆病视为并非一种炒作，而是一个需要验证或证伪的假设，这对医生和患者都可能有所帮助，前提是他们能够共同得出结论，即某些观念可能看似合理，但基于可靠科学研究的结果仍必须摒弃。这可能会为探索持续症状的治疗方法开辟新途径。
