Lyme Arthritis: Pathogenesis, Clinical Presentation, and Management
Abstract
Arthritis is one of the most prominent features of Lyme disease, the tick-borne illness caused by Borrelia burgdorferi. Although the pathogenesis of Lyme arthritis is complex and still under study, the clinical presentation and natural history have been established by long-term observation of untreated and treated patients. This review addresses the clinical presentation of Lyme arthritis as a mono- or oligoarticular relapsing/remitting arthritis primarily affecting the large joints and describes presentations in which arthralgias rather than arthritis are seen. Strategies for diagnosis and treatment are discussed, and methods are reviewed for addressing treatment-refractory Lyme arthritis and arthralgias that may occur after treatment of Lyme disease (sometimes as a component of what is known as the post-Lyme disease syndrome).
Part of HLA-DR haplotypes research · Curated by Lauren Lowenstein, The Biotoxin Lady
Key Biomarkers
Symptom Clusters
References (10)
- High levels of inflammatory chemokines and cytokines in joint fluid and synovial tissue throughout the course of antibiotic‐refractory lyme arthritisArthritis & Rheumatism · 2007
- Association of treatment-resistant chronic Lyme arthritis with HLA-DR4 and antibody reactivity to OspA and OspB of Borrelia burgdorferiInfection and Immunity · 1993
- An epidemic of oligoarticular arthritis in children and adults in three connecticut communitiesArthritis & Rheumatism · 1977
- Chemokines and Toll-like receptors in Lyme disease pathogenesisTrends in Molecular Medicine · 2005
- Induction of Host Matrix Metalloproteinases byBorrelia burgdorferiDiffers in Human and Murine Lyme ArthritisInfection and Immunity · 2005
- Detection of Borrelia burgdorferi DNA by polymerase chain reaction in synovial fluid from patients with Lyme arthritisNew England Journal of Medicine · 1994
- Elucidation of Lyme arthritisNature reviews. Immunology · 2004
- Recommendations for Test Performance and Interpretation From the Second National Conference on Serologic Diagnosis of Lyme DiseaseJAMA · 1995
- The clinical evolution of Lyme arthritisAnnals of Internal Medicine · 1987
- Ceftriaxone Compared with Doxycycline for the Treatment of Acute Disseminated Lyme DiseaseNew England Journal of Medicine · 1997
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