[Rheumatologic manifestations of Lyme disease]

The characteristics of 15 patients with Lyme disease have been retrospectively reviewed; 12 patients had lymphocytic meningitis with mono or polyradiculitis including facial neuritis; 5 patients had mono or oligo-arthritis; 4 patients had inflammatory enthesopathy-like complaints which were the only expression of the disease in 2 of them. All the patients received antibiotic treatment. A dramatic clinical improvement was noted in all patients within four days. A rapid response to treatment seems to be a useful diagnostic criteria which could be added to the recognized ones, i.e., clinical manifestations or significant rise of antibody titres.