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Martha Kramer
Lyme Disease Coalition of New York Katonah, New York

JAMA. 1993;270(22):2683.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—We were saddened and disturbed by the article by Steere et al.¹

There exists in the scientific literature ample evidence of persistent chronic infection despite recommended treatment, documentation of seronegativity as a real phenomenon in Lyme disease, sufficient information regarding the mechanisms of evasion of the organism by antibiotics and the immune system, and evidence for the unreliability of diagnostic tests. This type of study fosters complacency, a hesitancy on the part of physicians to diagnosis and treat, and a decline in the numbers of reported cases with the potential for a reduction in funds for Lyme disease research.

We would like you to understand what it is like living in a highly endemic area where Lyme disease affects families, friends, and acquaintances by the score. We are not getting well, and our families and friends are not getting well. There are now many thousands of . . . [Full Text PDF of this Article]

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