[Age and symptoms of Lyme disease].
OBJECTIVE
Comparison of clinical symptoms in Lyme disease (LD) in various age groups.


METHODS
150 patients with verified LD were divided into 4 age groups: under 15 years (group 1), 16-40 years (group 2), 41-60 years (group 3), over 60 years (group 4). Antibodies to Borrelia burgdorteri were detected with indirect immunofluorescence and Western blot.


RESULTS
LD clinical symptoms differed in the age groups. Patients of group 1 had more prevalent infectious syndrome with fever but they had no radiculoneuritis and polyneuritis. Patients of group 2 more frequently suffered of carditis and secondary erythema. Groups 3 and 4 were characterized by infectious syndrome, secondary erythema and aseptic meningitis, joint lesions being more frequent in group 3, nervous system lesions--in group 4.


CONCLUSIONS
Age peculiarities of LD symptoms are very important. In particular, joint syndrome is responsible for lingering course of LD.
Barskova
V G
VG
Anan'eva
L P
LP
Fedorov
E S
ES
Cheprova
O A
OA
Nasonova
V A
VA
D000293:Adolescent; D000328:Adult; D000367:Age Factors; D000907:Antibodies, Bacterial / Q000032:analysis; D015748:Borrelia burgdorferi Group / Q000276:immunology; D002648:Child; D018450:Disease Progression; D019084:Fluorescent Antibody Technique, Indirect; D006801:Humans; D015994:Incidence; D008193:Lyme Disease / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D008875:Middle Aged; D015995:Prevalence; D012426:Russia / Q000453:epidemiology; D012720:Severity of Illness Index
D000907:Antibodies, Bacterial