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[Borreliosis--still a diagnostic labyrinth]
Zeitschrift Fur Hautkrankheiten
|August 1, 1985
Summary
Acrodermatitis chronica atrophicans and meningo-polyneuritis are infectious diseases caused by spirochetes transmitted by ticks. These conditions, following erythema migrans, can be misdiagnosed.
Area of Science:
- Infectious Diseases
- Neurology
- Dermatology
Background:
- Acrodermatitis chronica atrophicans (ACA) and Garin-Bujadoux-Bannwarth syndrome (GBBS) are late manifestations of Lyme borreliosis.
- These conditions can present diagnostic challenges, potentially leading to misinterpretation.
Observation:
- Three case reports detail patients presenting with ACA and GBBS.
- Initial symptoms included erythema migrans, a characteristic rash of Lyme disease.
Findings:
- The cases illustrate the spirochetal etiology of both ACA and GBBS.
- The causative agent, a spirochete, is typically transmitted by the Ixodes ricinus tick.
Implications:
- Recognizing the spirochetal nature of ACA and GBBS is crucial for accurate diagnosis.
- Early and correct diagnosis facilitates timely and appropriate treatment of these tick-borne illnesses.