The phenomenon of 'chronic Lyme'; an observational study.Unforutnatly only the abstract is available. The other "well-defined illnesses" would be interesting to collect.
Ljøstad U, Mygland A.
Department of Neurology, Sørlandet Hospital, Kristiansand, Norway Institute of Clinical Medicine, University of Bergen, Bergen, Norway Department of Habilitation, Sørlandet Hospital, Kristiansand, Norway
To chart clinical, laboratory, and psychometric profiles in patients who attribute their complaints to chronic Lyme disease.
We assessed the patients by clinical examination, laboratory tests, and questionnaires measuring fatigue, depression, anxiety, health-related quality of life, hypochondriasis, and illness perceptions.
We found no evidence of ongoing Borrelia burgdorferi (Bb) infection in any of the 29 included patients using current diagnostic guidelines and an extended array of tests.
Eight (28%) had other well-defined illnesses.
Twenty-one (72%) had symptoms of unknown cause, of those six met the suggested criteria for post-Lyme disease syndrome.
Fourteen (48%) had presence of anti-Bb antibodies.
The patients had more fatigue and poorer health-related quality of life as compared to normative data, but were not more depressed, anxious, or hypochondriacal.
Their beliefs about the illness were characterized by negative expectations.
Our patients, who all attributed their symptoms to chronic Lyme disease, were heterogeneous.
None had evidences of persistent Bb infection, but whether current diagnostic criteria are functional in patients with longstanding complaints is controversial.
Other well-defined illnesses or sequelae from earlier Lyme disease were probable as main explanatory factor in some cases.
The patients were not more depressed, anxious, or hypochondriacal than the normal population, but they had poorer health-related quality of life, more fatigue, and negative expectations about their illness.
And about half(!) of the patients who were seen by these doctors supposedly with "chronic Lyme" did actually not have anti-bodies against Borrelia Burgdorferi - and none had evidences of persistent infection! There are certainly some Quacks out there diagnosing people with "Chronic Lyme". And only "six met the suggested criteria for post-Lyme disease syndrome".