Lyme disease: European perspective.
The main clinical features of Lyme borreliosis seem to be the same in Europe and North America; however, the course of erythema migrans is distinct, with multiple erythema migrans and hematogeneous dissemination in early Lyme borreliosis less frequently observed in Europe. Moreover, the skin manifestations borrelial lymphocytoma and acrodermatitis chronica atrophicans are apparently European phenomena. Meningoradiculoneuritis in Lyme neuroborreliosis, with its severe radicular pain, is more prominent in Europe. Similar difficulties exist on both sides of the Atlantic with the serologic diagnosis of Lyme borreliosis.
Stanek
Gerold
G
Medical University of Vienna, Clinical Institute of Hygiene and Medical Microbiology, Vienna, Austria. gerold.stanek@meduniwien.ac.at
Strle
Franc
F
D000818:Animals; D015787:Erythema Chronicum Migrans / Q000175:diagnosis; D005060:Europe; D049672:History, 19th Century; D049673:History, 20th Century; D049674:History, 21st Century; D006801:Humans; D008193:Lyme Disease / Q000175:diagnosis / Q000188:drug therapy / Q000266:history; D020852:Lyme Neuroborreliosis / Q000175:diagnosis; D019310:Pseudolymphoma / Q000382:microbiology