| Symptoms
& History
Physical
Findings
Stop
& Think
Lab
and X-Ray
Differential
Diagnosis
The
Disease
Treatment
Conclusions
Quiz
& Evaluation |
|
The
late
disseminated stage of Lyme disease may evolve over 2 or 3 years.
In stage 3 of the
disease, the organisms sequestered in various parts of the body elicit
a profound localized inflammatory reaction.
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Host immune reaction is out
of proportion to the small number of organisms.
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Immune system seems to be over
reacting to the spirochete's heat-shock proteins.
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The Borrelia can cause
a
chronic arthritis, often with profound joint damage. Large
joints most severely effected.
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Some people develop an encephalitis
which may be debilitating.
So how do you diagnose
Lyme disease?
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