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chronic Lyme disease |
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chronic Lyme disease
A predominantly neurologic condition ranging from mild–eg, fatigue, paresthesia, arthralgia, memory loss, mood swings, and dysomnia, to severe–eg, spastic paraparesis, tetraparesis, ataxia, chorea, cognitive
impairment, bladder dysfunction, cranial nerve deficits, myelitis, brainstem encephalitis and demyelination Lyme disease triad: Lymphocytic meningitis, cranial neuritis–especially of 7th and 8th cranial nerves and
radiculitis Diagnosis IgG antibody–'Western' immunoblotting to B burgdorferi that may disappear with time; persistent, ie treatable infection should be ruled out by a specific T-cell lymphoblastic response assay. See Lyme
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