Infectious Disease Clinics of North America volume 22, issue 2, P327-339 2008 DOI: 10.1016/j.idc.2008.01.001 View full text
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Gerold Stanek, Franc Strle

Abstract: The main clinical features of Lyme borreliosis seem to be the same in Europe and North America; however, the course of erythema migrans is distinct, with multiple erythema migrans and hematogeneous dissemination in early Lyme borreliosis less frequently observed in Europe. Moreover, the skin manifestations borrelial lymphocytoma and acrodermatitis chronica atrophicans are apparently European phenomena. Meningoradiculoneuritis in Lyme neuroborreliosis, with its severe radicular pain, is more prominent in Europe…

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