Blaauw A A, Bijlsma J W
Academisch Ziekenhuis, afd. Reumatologie en Klinische Immunologie, Utrecht.
Ned Tijdschr Geneeskd. 1997 Mar 8;141(10):474-7.
To establish, in patients referred with persisting noninflammatory musculoskeletal complaints. diagnosed elsewhere with Lyme disease, whether Lyme disease was present.
Outpatient Clinic for Rheumatology. Eemland Hospital Amersfoort and University Hospital Utrecht, the Netherlands.
Descriptive, prospective.
Patients were classified as having had Lyme disease in the past, having ongoing Lyme disease of no Lyme disease at all, on the basis of clinical history, physical examination, and classification criteria for Lyme disease.
In a two-year period 37 consecutive patients (mean age 50 years) were examined, 20 (54%) of whom had (a history of) Lyme disease. Of these 20, two suffered from erythema migrans, one of synovitis of the knee, and one of acrodermatitis chronica atrophicans (these four had not been treated). while one had persistent chronic oligoarthritis. Seventeen patients did not have Lyme disease, but were suffering from aspecific, noninflammatory musculoskeletal problems.
In this patient group with persisting musculo-skeletal complaints, 'Lyme disease' had been diagnosed correctly as often as incorrectly.
在因持续性非炎性肌肉骨骼疾病前来就诊、在其他地方被诊断为莱姆病的患者中，确定是否存在莱姆病。
荷兰阿默斯福特埃姆兰医院和乌得勒支大学医院的风湿病门诊。
描述性、前瞻性研究。
根据临床病史、体格检查和莱姆病的分类标准，将患者分为曾患过莱姆病、患有持续性莱姆病和根本没有莱姆病三类。
在两年时间里，连续检查了37例患者（平均年龄50岁），其中20例（54%）有（曾患）莱姆病病史。在这20例患者中，2例患有游走性红斑，1例患有膝滑膜炎，1例患有慢性萎缩性肢端皮炎（这4例未接受过治疗），1例患有持续性慢性寡关节炎。17例患者没有莱姆病，但患有非特异性非炎性肌肉骨骼问题。
在这个有持续性肌肉骨骼疾病主诉的患者群体中，“莱姆病”被正确诊断和错误诊断的情况一样常见。
