title: [Chronic atrophic acrodermatitis].
abstract: All the 18 patients with acrodermatitis chronica atrophicans (ACA) showed the specific borrelia antibody at the indirect immunofluorescence assay. The patients exhibited a large spectrum of arthritic and neurologic complaints besides the typical cutaneous symptoms. Changes of proteins, of liver-typical parameters and of the electrocardiogram are also assigned to the Lyme-borreliosis. The penicillin therapy - three times accompanied by a Jarisch-Herxheimer-reaction - led to regression of the clinical changes. The secessions of borrelia-antibody-titers happens only very delayed. That is why it can not be used for the direct therapy control. The increased documented polysymptomatic of Lyme-borreliosis requires a wider knowledge and the country-wide possibility of specific diagnostic.
authors.forename: R
authors.initials: R
authors.lastname: Kosbab
authors.forename: G
authors.initials: G
authors.lastname: Thess
authors.forename: E
authors.initials: E
authors.lastname: Köstler
mesh_terms: D000169:Acrodermatitis / Q000175:diagnosis*; D000907:Antibodies, Bacterial / Q000032:analysis; D001284:Atrophy; D015748:Borrelia burgdorferi Group / Q000276:immunology; D005260:Female; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology
chemical_list: D000907:Antibodies, Bacterial
vernacular_title: Untersuchungen zur Acrodermatitis chronica atrophicans.