[Polymyalgia rheumatica following Borrelia infection].
The case of a 84-year old woman is presented who developed a polymyalgia rheumatica/giant cell arteritis (PMR/GCA)-syndrome following a tick bite. Elevated titers of IgG-antibodies (indirect immunofluorescence and ELISA) as well as IgM (Immunoblot) against Borrelia burgdorferi antigens were found in her serum. When a total of 19 patients with PMR/GCA-syndrome was tested serologically, elevated or borderline IgG-titers against Borrelia antigens were detected in 12 of them (= 63%). Hence, Borrelia infection may be viewed as a potential trigger mechanism of a PMR/GCA-syndrome.
Vaith
P
P
Medizinische Universitätsklinik Freiburg, Abteilung Rheumatologie und Klinische Immunologie.
Röther
E
E
Vogt
A
A
Peter
H H
HH
D000368:Aged; D000369:Aged, 80 and over; D000818:Animals; D001899:Borrelia Infections / Q000150:complications*; D005260:Female; D006801:Humans; D007299:Insect Bites and Stings; D011111:Polymyalgia Rheumatica / Q000175:diagnosis* / Q000209:etiology; D013987:Ticks
Polymyalgia rheumatica nach Borrelieninfektion.