Lyme disease in the differential diagnosis of rheumatoid arthritis
Abstract
SUMMARY
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.
Keywords: Lyme disease, rheumatoid arthritis, Borrelia burgdorferi
ÖZET
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.
Anahtar sözcükler: Lyme hastalığı, romatoid artrit, Borrelia burgdorferi
Keywords
Details
Primary Language
English
Subjects
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Journal Section
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Publication Date
March 28, 2016
Submission Date
July 13, 2015
Acceptance Date
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Published in Issue
Year 2016 Volume: 38 Number: 1