Diagnosis and treatment of Lyme arthritis.

  title={Diagnosis and treatment of Lyme arthritis.},
  author={Allen C. Steere},
  journal={The Medical clinics of North America},
  volume={81 1},
Lyme arthritis typically causes intermittent attacks of oligoarticular arthritis in a few large joints, especially the knee. A small percentage of patients may develop chronic arthritis, again affecting primarily the knee. The diagnosis is usually based on the presence of this characteristic clinical picture, exposure in an endemic area, and a positive IgG antibody response to B. burgdorferi determined by ELISA and Western blotting. In addition, spirochetal DNA can often be detected in joint… CONTINUE READING

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