A tale of two syndromes: Lyme disease preceding postural orthostatic tachycardia syndrome.
The pathogenesis of postural orthostatic tachycardia syndrome (POTS) is poorly understood. However, it has been suggested that altered immune activity or denervation of the autonomic system following illness may be an important trigger. Patients infected with Lyme disease have a small incidence of post-Lyme disease syndrome that share similar characteristics to POTS. We report a short series of two women who present with persistent symptoms of orthostatic intolerance consistent with POTS after treated Lyme disease.
Department of Medicine, University of Connecticut School of Medicine, Farmington, CT.
Adam M
AM
Noyes
Jeffrey
J
Kluger
D000293:Adolescent; D000328:Adult; D000889:Anti-Arrhythmia Agents / Q000627:therapeutic use; D055050:Diet, Gluten-Free; D005260:Female; D005440:Fluid Therapy; D006801:Humans; D008193:Lyme Disease / Q000150:complications*; D008879:Midodrine / Q000627:therapeutic use; D054972:Postural Orthostatic Tachycardia Syndrome / Q000150:complications* / Q000628:therapy*; D011433:Propranolol / Q000627:therapeutic use; D013566:Sympathomimetics / Q000627:therapeutic use; D013577:Syndrome
D000889:Anti-Arrhythmia Agents; D013566:Sympathomimetics; D008879:Midodrine; D011433:Propranolol
Lyme disease; postural orthostatic tachycardia syndrome