An unusual presentation of Lyme arthritis.
A patient eventually found to have Lyme arthritis presented with a symmetrical polyarthritis clinically resembling both rheumatoid arthritis and an enthesopathy but with a negative RA latex test. A history of tick bite was obtained only on followup questioning. Her Lyme serology was positive and her response to antibiotic treatment was complete.
Levin
R E
RE
Department of Medicine, Lawrence and Memorial Hospital, New London, CT.
D000328:Adult; D000974:Antibodies, Antinuclear / Q000032:analysis; D001170:Arthritis, Infectious / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D003937:Diagnosis, Differential; D004917:Erythromycin / Q000627:therapeutic use; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology; D008683:Metatarsophalangeal Joint / Q000276:immunology; D013585:Synovitis / Q000175:diagnosis* / Q000188:drug therapy / Q000276:immunology
D000974:Antibodies, Antinuclear; D004917:Erythromycin