Lyme disease: cause of a treatable peripheral neuropathy.

Publication/Presentation Date

11-1-1987

Abstract

Peripheral nerve dysfunction was demonstrated in 36% of patients with late Lyme disease. Of 36 patients evaluated, 14 had prominent limb paresthesias. Thirteen of these had neurophysiologic evidence of peripheral neuropathy; neurologic examinations were normal in most. Repeat testing following treatment documented rapid improvement in 11 of 12. We conclude that this neuropathy, which is quite different from the infrequent peripheral nerve syndromes previously described in this illness, is commonly present in late Lyme disease. This neuropathy presents with intermittent paresthesias without significant deficits on clinical examination and is reversible with appropriate antibiotic treatment. Neurophysiologic testing provides a useful diagnostic tool and an important measure of response to treatment.

Volume

37

Issue

11

First Page

1700

Last Page

1706

ISSN

0028-3878

Disciplines

Medicine and Health Sciences

PubMedID

3670609

Department(s)

Department of Pathology and Laboratory Medicine

Document Type

Article

Share

COinS