title: Wegener's granulomatosis with cardiac involvement masquerading as Lyme disease.
abstract: Cardiac conduction disease is an infrequent complication of Wegener's granulomatosis (WG). We describe a case demonstrating an association between WG and complete atrioventricular dissociation. This manifestation was initially interpreted as Lyme disease based on these cardiac findings, arthritis, myalgias and positive Lyme serology. The clinical overlap between these disorders and the appropriate use of respective serologies is discussed.
authors: Department of Dermatology, Johns Hopkins University, Baltimore, Maryland, USA.
authors: D J
authors: DJ
authors: Kouba
authors: D G
authors: DG
authors: Kirsch
authors: D
authors: D
authors: Mimouni
authors: C H
authors: CH
authors: Nousari
mesh_terms: D000328:Adult; D005260:Female; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000175:diagnosis*; D006327:Heart Block / Q000209:etiology*; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis*