Post by Admin/ Traveler on May 3, 2018 20:04:49 GMT
Over the years of me being involved with a Lyme forum, I've noticed that a LOT of Lyme patients have issues with pain in their clavicle/clavicle joint. Here is finally some documentation showing that it really IS Lyme:
Sternoclavicular Arthritis as a Clinical Presentation for Lyme Disease
"Lyme disease is caused by Borrelia burgdorferi and can lead to dermatologic, neurologic, cardiac, and musculoskeletal manifestations. The arthritis of Lyme disease is typically monoarticular, with the knee being most commonly involved.(Trav here: Okay, well we already know that this isn't true though) Lyme arthritis of small joints has not previously been well described. We report 3 children who presented with sternoclavicular joint swelling and who were found to have Lyme disease based on enzyme-linked immunosorbent assay and Western blot. This description of sternoclavicular Lyme arthritis highlights the importance of considering Lyme disease in the differential and diagnostic workup of new onset, small joint arthritis in patients presenting from or with travel to Lyme endemic regions.
Lyme disease is caused by the spirochete Borrelia burgdorferi and is transmitted in endemic regions by Ixodes ticks. Reports of Lyme disease in the northeastern United States have increased by as much as 215% between the years 2000–2015, with the true incidence of Lyme estimated at 10-fold of reported cases. Clinical manifestations of Lyme disease have been traditionally classified into 3 stages: localized, disseminated, and late, with arthritis occurring in disseminated- and late-stage disease. The typical presentation of Lyme arthritis involves inflammation of a large joint, with the knee being most commonly involved.
Involvement of small joints has not been frequently described in Lyme disease. Thus, when patients present with undiagnosed Lyme-associated small joint arthritis, the clinician generally considers other infectious, rheumatologic, or oncologic diseases in the differential diagnosis. As the incidence of Lyme increases, clinicians need to consider Lyme in the differential diagnosis of small joint disease. In this series, we describe 3 patients who presented with chief complaints involving swelling in the sternoclavicular joint and who were ultimately diagnosed with Lyme disease."
The article continues with 3 case presentations, as well as discussion. Just follow the link above if you wish to read more.
Sternoclavicular Arthritis as a Clinical Presentation for Lyme Disease
"Lyme disease is caused by Borrelia burgdorferi and can lead to dermatologic, neurologic, cardiac, and musculoskeletal manifestations. The arthritis of Lyme disease is typically monoarticular, with the knee being most commonly involved.(Trav here: Okay, well we already know that this isn't true though) Lyme arthritis of small joints has not previously been well described. We report 3 children who presented with sternoclavicular joint swelling and who were found to have Lyme disease based on enzyme-linked immunosorbent assay and Western blot. This description of sternoclavicular Lyme arthritis highlights the importance of considering Lyme disease in the differential and diagnostic workup of new onset, small joint arthritis in patients presenting from or with travel to Lyme endemic regions.
Lyme disease is caused by the spirochete Borrelia burgdorferi and is transmitted in endemic regions by Ixodes ticks. Reports of Lyme disease in the northeastern United States have increased by as much as 215% between the years 2000–2015, with the true incidence of Lyme estimated at 10-fold of reported cases. Clinical manifestations of Lyme disease have been traditionally classified into 3 stages: localized, disseminated, and late, with arthritis occurring in disseminated- and late-stage disease. The typical presentation of Lyme arthritis involves inflammation of a large joint, with the knee being most commonly involved.
Involvement of small joints has not been frequently described in Lyme disease. Thus, when patients present with undiagnosed Lyme-associated small joint arthritis, the clinician generally considers other infectious, rheumatologic, or oncologic diseases in the differential diagnosis. As the incidence of Lyme increases, clinicians need to consider Lyme in the differential diagnosis of small joint disease. In this series, we describe 3 patients who presented with chief complaints involving swelling in the sternoclavicular joint and who were ultimately diagnosed with Lyme disease."
The article continues with 3 case presentations, as well as discussion. Just follow the link above if you wish to read more.