NYMC Faculty Publications
A Critical Appraisal of the Mild Axonal Peripheral Neuropathy of Late Neurologic Lyme Disease
DOI
10.1016/j.diagmicrobio.2016.11.003
Journal Title
Diagnostic Microbiology and Infectious Disease
First Page
163
Last Page
167
Document Type
Article
Publication Date
February 2017
Department
Medicine
Abstract
In older studies, a chronic distal symmetric sensory neuropathy was reported as a relatively common manifestation of late Lyme disease in the United States. However, the original papers describing this entity had notable inconsistencies and certain inexplicable findings, such as reports that this condition developed in patients despite prior antibiotic treatment known to be highly effective for other manifestations of Lyme disease. More recent literature suggests that this entity is seen rarely, if at all. A chronic distal symmetric sensory neuropathy as a manifestation of late Lyme disease in North America should be regarded as controversial and in need of rigorous validation studies before acceptance as a documented clinical entity.
Recommended Citation
Wormser, G., Strle, F., Shapiro, E., Dattwyler, R., & Auwaerter, P. (2017). A Critical Appraisal of the Mild Axonal Peripheral Neuropathy of Late Neurologic Lyme Disease. Diagnostic Microbiology and Infectious Disease, 87 (2), 163-167. https://doi.org/10.1016/j.diagmicrobio.2016.11.003