Emrullah HAYTA, Ahmet KARADAĞ, Sevil Ceyhan DOĞAN, Müjde KARADAĞ

Lyme disease in the differential diagnosis of rheumatoid arthritis

Romatoid artrit (RA) ile Lyme hastalığı klinik olarak farklılıklar göstermektedir. Lyme artriti RA'dan belirgin farklılıklar göstermesine ragmen, benzer bir şekilde kronik proliferatif sinovitise bağlı olarak eklem yerlerinde erozyona neden olabilmektedir. Literatürde her iki hastalığın birlikte görüldüğü olguda bildirilmiştir. Biz bu makalede el küçük eklemlerinde simetrik artriti ve el bileklerinde artraljisi olup RA'yı taklit eden ancak öykü, klinik ve laboratuvar olarak Lyme Hastalığı tanısı koyduğumuz ve tedavisi tamamlanan bir vakayı sunmayı amaçladık.

Romatoid artritin ayırıcı tanısında Lyme hastalığı

Clinically, there are some differences between rheumatoid arthritis (RA) and Lyme disease. Although Lyme arthritis exhibits marked differences from RA, it can cause erosion at joint due to chronic proliferative synovitis as similar to RA. In the literature, a case was reported where both entities were seen together. In this manuscript, we aimed to present a case with symmetric arthritis at small hand joints and arthralgia at wrist that mimicked RA but diagnosed as Lyme disease by history, clinical presentation and laboratory findings, and successfully treated.

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Steera AC. Borrelia burgdorferi, pp: 2798-810. In: Mandell GL, Bennett JE, Dolin R (eds), Principles and Practice of Infectious Diseases, 6th ed. Churchill Livingstone, New York 2005.
Steere AC, Schoen RT, Taylor E. The clinical evolution of Lyme arthritis Ann Intern Med 1987; 107: 725-31.
Jaulhac B, Chary-Valckenaere I, Sibilia J. Detection of Borrelia burgdorferi by DNA amplification in synovial tissue samples from patients with Lyme arthritis. Arthritis Rheum 1996; 39: 736-45.
Takatsu M, Higaki M, Kinoshita H, Mizushima Y, Koizuka I. Ear involvement in patients with rheumatoid arthritis. Otol Neurotol 2005; 266: 755-1.
Onen F, Tuncer D, Akar S. Seroprevalence of Borrelia burgdorferi in patients with Behcet's disease. Rheumatol Int 2003; 23: 289-93.
Meredith JT. Infection from animals. Tintinalli JE, Kelen GD, Stapczynki JS. Emergency Medicine A Comprehensive Study Guide, McGraw&Hill, 5th ed. 2000; 991-1001.