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Letters |7 November 2000

Outcomes of Lyme Disease

Nancy A. Shadick, MD, MPH; Robert A. Lew, PhD; Matthew H. Liang, MD, MPH

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Author, Article, and Disclosure Information
Copyright ©2004 by the American College of Physicians
2004
  • Brigham and Women's Hospital; Boston, MA 02115 (Shadick, Lew, Liang)
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IN RESPONSE:
We appreciate Dr. Prybylski's insights. He interprets the findings as we do but arrives at them by way of a different path. We agree that it is striking that 14 self-reported symptoms were more prevalent in patients with previous Lyme disease than in those without. Among the 26 symptoms about which patients were queried, we chose these 14 symptoms to highlight in tabular form because they were more prevalent. We similarly noted the striking deficits in health-related quality of life, as measured by the SF-36, among patients with Lyme disease and believe this to be one of the study's main findings. It is true that the prevalence of knee pain was higher when the joint was taken through its range of motion. In an extensive neurologic and musculoskeletal examination and neurocognitive test battery, the groups overall had strikingly similar findings.
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Shadick NA, Lew RA, Liang MH. Outcomes of Lyme Disease. Ann Intern Med. 2000;133:746–747. doi: 10.7326/0003-4819-133-9-200011070-00023

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Published: Ann Intern Med. 2000;133(9):746-747.

DOI: 10.7326/0003-4819-133-9-200011070-00023

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Print ISSN: 0003-4819 | Online ISSN: 1539-3704

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