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Ferguson H. Overdiagnosis of Lyme Disease. Ann Intern Med. 1998;129:752. doi: 10.7326/0003-4819-129-9-199811010-00030
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Published: Ann Intern Med. 1998;129(9):752.
TO THE EDITOR:
I carefully read Reid and colleagues' article,  copies of which had been sent to me by two physicians who had previously tried to convince me that I did not have Lyme disease.
I can testify from my own experience that “inappropriate use of health services … and substantial disability and distress” can result from seeking a diagnosis of late or chronic Lyme disease. A preliminary talley of the medical expenses I recently incurred in pursuit of such a diagnosis comes to $3500. My primary care provider, acknowledging inexperience with Lyme disease, deferred to specialists in neurology, infectious diseases, rheumatology, and orthopedics. Each of these specialists declared confidently, after enzyme-linked immunosorbent assay and Western blot tests, spinal taps, radiography, and two magnetic resonance imaging scans, that I didn't have Lyme disease-or anything else. After 2 years, I received neither diagnosis nor treatment. The only prescription was for Lodine.
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Print ISSN: 0003-4819 | Online ISSN: 1539-3704
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