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CLINICIAN'S CORNER
A 58-Year-Old Man With a Diagnosis of Chronic Lyme Disease
Allen C. Steere, MD,Discussant
JAMA. 2002;288:1002-1010.
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INTRODUCTION
DR BURNS: Mr C is a 58-year-old man diagnosed as having chronic Lyme disease. He lives in a suburb of Boston and works as a consultant. He has managed care insurance.
Mr C had an episode of Bell's palsy on the left side of his face in August 1992 and reported that he spent a lot of time on Martha's Vineyard, an endemic area for Lyme disease. Subsequently, he noticed that he became less competent mentally. He could not do simple math and he became depressed. In 1994, he was diagnosed as having Lyme disease. At that time, he complained of neck pain radiating to his left shoulder and hand, with numbness and tingling in his hand; back pain that radiated down his left leg; bilateral joint aches in both elbows and, to a lesser extent, his shoulders; bilateral tinnitus; periodic blurred vision (worse . . . [Full Text of this Article]
MR C: HIS VIEW
DR N, THE PRIMARY PHYSICIAN: HIS VIEW
AT THE CROSSROADS: QUESTIONS FOR DR STEERE
Epidemiology and Cause of Lyme Disease Clinical Manifestations Diagnostic Testing Antibiotic Treatment Post–Lyme Disease Syndrome or Chronic Lyme Disease Evaluation and Management of Patients With Persistent Symptoms After Lyme Disease
QUESTIONS AND DISCUSSION
Author Affiliation: Dr Steere is Professor of Medicine, Harvard Medical School, and Director, Comprehensive Arthritis Center, Massachusetts General Hospital, Boston.
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A 58-Year-Old Man With a Diagnosis of Chronic Lyme Disease, 1 Year Later
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