title: [Localized scleroderma (morphea) and septic arthritis. Clinical manifestations of Lyme borreliosis seen in El Ferrol].
abstract: Two cases of Lyme's disease seen at El Ferrol (Spain) were described. One of them developed a recurrent knee arthritis and the other had a localized sclerodermia (morphea) syndrome. Diagnosis was established by means of clinical picture and serologic tests (enzyme-linked analysis and/or indirect immunofluorescence tests). Joint involvement has often been described in patients diagnosed of having Lyme's disease in Spain, however, the relationship between morphea and borreliosis is still a matter of controversy. We believe that patients with localized sclerodermia and high significant titers of specific antibodies against B. burgdorferi should be treated with antimicrobial agents.
authors.affiliation: Servicio de Microbiología Clínica, Hospital Naval de El Ferrol.
authors.forename: J R
authors.initials: JR
authors.lastname: Maestre
authors.forename: M
authors.initials: M
authors.lastname: Almagro
authors.forename: P
authors.initials: P
authors.lastname: Martínez
authors.forename: R
authors.initials: R
authors.lastname: de Casas
authors.forename: R
authors.initials: R
authors.lastname: Quesada
authors.forename: J
authors.initials: J
authors.lastname: Egido
mesh_terms: D000328:Adult; D000907:Antibodies, Bacterial / Q000097:blood; D015748:Borrelia burgdorferi Group / Q000276:immunology; D005260:Female; D005455:Fluorescent Antibody Technique; D006801:Humans; D015994:Incidence; D007717:Knee; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D015995:Prevalence; D012594:Scleroderma, Localized / Q000175:diagnosis / Q000209:etiology*; D013030:Spain / Q000453:epidemiology
chemical_list: D000907:Antibodies, Bacterial
vernacular_title: Esclerodermia localizada (morfea) y artritis séptica. Manifestaciones clínicas de borreliosis de Lyme observadas en El Ferrol.