[Lyme disease acrodermitis chronica atrophicans: misleading vascular signs].
Lyme disease acrodermatitis chronica atrophicans is a tertiary form of Lyme borrelliosis. It occurs at least six months, but also up to several years, after a tick bite. This rare condition is probably underestimated because of the difficult diagnosis. Clinical presentations of acrodermatitis chronic atrophicans are quite variable depending upon the duration of the disease. Complimentary explorations are difficult to interpret and rarely specific. Only rare configurations allow formal diagnosis of Borrelia burgdoferi infection. We present a patient who exhibited an atypical clinical presentation of Lyme disease acrodermatitis chronic atrophicans. The clinical outcome was quite favorable with treatment, confirming the diagnosis. Such treatments, which are well tolerated and highly effective, are essential since an untreated disease can lead to potentially severe neurological involvement.
Clinique universitaire de médecine vasculaire, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France. Electronic address: SBlaise@chu-grenoble.fr.
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Blaise
Service d'anatomopathologie, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
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Fiandrino
Clinique universitaire de médecine vasculaire, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
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B
Satger
Clinique universitaire de médecine vasculaire, CHU de Grenoble, BP 217, 38043 Grenoble cedex 09, France.
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Carpentier
D000169:Acrodermatitis / Q000209:etiology* / Q000473:pathology; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001284:Atrophy; D002908:Chronic Disease; D057210:Delayed Diagnosis; D003937:Diagnosis, Differential; D004318:Doxycycline / Q000627:therapeutic use; D006801:Humans; D008193:Lyme Disease / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D012867:Skin / Q000473:pathology; D013924:Thrombophlebitis / Q000175:diagnosis
D000900:Anti-Bacterial Agents; D004318:Doxycycline
Acrodermatite atrophiante de Lyme; Acrodermatitis chronica atrophicans; Borrelia; Borreliosis; Doxycycline; Lyme; Lyme disease