[Localized scleroderma (morphea) and septic arthritis. Clinical manifestations of Lyme borreliosis seen in El Ferrol].
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.
Maestre
J R
JR
Servicio de Microbiología Clínica, Hospital Naval de El Ferrol.
Almagro
M
M
Martínez
P
P
de Casas
R
R
Quesada
R
R
Egido
J
J
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
D000907:Antibodies, Bacterial
Esclerodermia localizada (morfea) y artritis séptica. Manifestaciones clínicas de borreliosis de Lyme observadas en El Ferrol.