| Autor: |
Gellis SE; Department of Dermatology, Pathology, Tufts University School of Medicine, Boston, MA., Stadecker MJ, Steere AC |
| Jazyk: |
angličtina |
| Zdroj: |
Journal of the American Academy of Dermatology [J Am Acad Dermatol] 1991 Aug; Vol. 25 (2 Pt 2), pp. 395-7. |
| DOI: |
10.1016/0190-9622(91)70213-l |
| Abstrakt: |
Acrodermatitis chronica atrophicans, which has rarely been observed in the United States, is a late skin manifestation of Lyme borreliosis. A 12-year-old girl who spent summers on Cape Cod presented with a 2-year history of hyperpigmentation and atrophy of the skin on the hands, wrists, and ankles. The skin biopsy specimen of an affected area showed mild dermal fibrosis, a few inflammatory cells, and spirochetes morphologically compatible with Borrelia burgdorferi. An IgG antibody response to B. burgdorferi could be elicited by immunoblotting, but not by enzyme-linked immunosorbent assay. We conclude that this patient had chronic Lyme borreliosis manifested only by indolent infection of the skin. |
| Databáze: |
MEDLINE |
| Externí odkaz: |
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