Herrmann W P
Z Hautkr. 1986 Apr 15;61(8):515-21.
In Lyme's disease (LD) as well as in the European form of erythema chronicum migrans (ECM), the etiologic agents are spirochetes. As fas as we know by now, these microbes are closely related but not identical. Consequently, LD and ECM should be regarded as closely related but not as identical diseases. The sera of our 21 patients suffering from acrodermatitis chronica atrophicans (ACA) contained elevated antibody titers directed against the etiological agent found in ECM. These findings strongly suggest that ACA is also induced by spirochetes-possibly by the same microbes found in ECM.
在莱姆病（LD）以及欧洲型慢性游走性红斑（ECM）中，病原体是螺旋体。就我们目前所知，这些微生物密切相关但并不相同。因此，LD和ECM应被视为密切相关但并非相同的疾病。我们的21例患有萎缩性肢端皮炎（ACA）患者的血清中，针对在ECM中发现的病原体的抗体滴度升高。这些发现强烈表明，ACA也是由螺旋体引起的——可能是由在ECM中发现的相同微生物引起的。
