Schned E S, Williams D N
Postgrad Med. 1985 Apr;77(5):303-8, 310. doi: 10.1080/00325481.1985.11698969.
Lyme disease may present as a characteristic skin eruption, an acute arthritis, or less commonly, an acute neurologic or cardiac illness. A carefully taken history, including a travel history, provides the key to diagnosis. Laboratory tests other than spirochetal antibody studies are nonspecific. Prompt antibiotic treatment is important not only for reducing the intensity and duration of the skin eruption but for preventing major sequelae.
莱姆病可能表现为特征性皮疹、急性关节炎,或较罕见地,表现为急性神经系统或心脏疾病。详细的病史采集,包括旅行史,是诊断的关键。除螺旋体抗体研究外的实验室检查均不具有特异性。及时进行抗生素治疗不仅对减轻皮疹的强度和持续时间很重要,而且对预防主要后遗症也很重要。