Lyme disease.
A 29-year-old male tennis player was examined for neck pain, limited mobility, and right elbow pain. The patient was treated for cervical facet syndrome by chiropractic manipulative therapy (CMT) for a period of 6 weeks. After this time the patient had a relapse of cervical pain, spinal myofascitis, dermatitis and migratory arthropathy. Several specialists were consulted throughout the case including a rheumatologist, and a tentative diagnosis of psoriatic arthritis and fibromyalgia was made. A follow-up blood evaluation led to a new diagnosis of Lyme disease.
Division of Clinical Sciences, New York Chiropractic College, Glen Head.
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Brier
D000328:Adult; D001170:Arthritis, Infectious / Q000175:diagnosis; D002574:Cervical Vertebrae; D002684:Chiropractic; D003937:Diagnosis, Differential; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis*; D008297:Male; D013122:Spinal Diseases / Q000175:diagnosis* / Q000628:therapy