Lyme Disease.

IF 19.6 1区医学 Q1 MEDICINE, GENERAL & INTERNAL

Annals of Internal Medicine Pub Date : 2025-05-01 Epub Date: 2025-05-13 DOI:10.7326/ANNALS-25-01111

Robert P Smith

引用次数: 0

Abstract

Lyme disease, caused by Borrelia burgdorferi, is the most common vector-borne disease in the United States, and the range of its tick vector continues to expand. Most Lyme disease cases are diagnosed with the onset of the erythema migrans rashes, which can be single or multiple and vary from a homogeneous erythema to bull's-eye patterns. Serologic antibody testing is of low sensitivity at onset but becomes highly sensitive after a few weeks. Early dissemination may lead to neurologic and cardiac complications. Mono- or oligoarticular arthritis may develop in untreated patients. Antibiotic treatment is highly effective, but approximately 10% of treated patients experience persistent symptoms.

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莱姆病。

由伯氏疏螺旋体引起的莱姆病是美国最常见的媒介传播疾病，其蜱虫媒介的范围继续扩大。大多数莱姆病病例被诊断为偏头痛发作，可为单一或多重红斑，从同质红斑到牛眼红斑不等。血清学抗体检测在开始时敏感性低，但在几周后变得高度敏感。早期传播可能导致神经和心脏并发症。未经治疗的患者可发展为单关节或少关节关节炎。抗生素治疗非常有效，但大约10%的治疗患者会出现持续的症状。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Annals of Internal Medicine 医学-医学：内科

CiteScore

23.90

自引率

1.80%

发文量

1136

审稿时长

3-8 weeks

期刊介绍： Established in 1927 by the American College of Physicians (ACP), Annals of Internal Medicine is the premier internal medicine journal. Annals of Internal Medicine’s mission is to promote excellence in medicine, enable physicians and other health care professionals to be well informed members of the medical community and society, advance standards in the conduct and reporting of medical research, and contribute to improving the health of people worldwide. To achieve this mission, the journal publishes a wide variety of original research, review articles, practice guidelines, and commentary relevant to clinical practice, health care delivery, public health, health care policy, medical education, ethics, and research methodology. In addition, the journal publishes personal narratives that convey the feeling and the art of medicine.