An Interesting Case of Lyme Disease – Dr Pugliese

An Interesting Case of Lyme Disease  Achrodermatitis Chronicum Atrophicans & Diagnosing Lyme Disease Clinically by Dr. Andrew Pugliese A fifteen-year-old young lady came to see me last year with quite an interesting story. Six months prior to her visit, she was at summer camp, when she developed a fever, chills, myalgia and […]

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The Mystery of Lyme Disease – Dr Pugliese

Diagnosing and treating this patient is a labor-intensive effort. It takes patience and understanding in order to be successful. Unfortunately for many in my profession, both are in short supply. Mix that with not fully understanding how to view the data before them, and many patients are dismissed and labeled as kooks. It’s time to be less dismissive and learn to look and listen better.

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New ILADS Guidelines

The International Lyme and Associated Diseases Society (ILADS) have produced new evidence-based guidelines for the management of patients with Lyme disease. The guidelines address three clinical questions; The usefulness of antibiotic prophylaxis for known tick bites The effectiveness of erythema migrans treatment The role of antibiotic retreatment in patients with persistent manifestations of […]

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Group Questions Answered

Lyme Disease UK submitted a document containing 59 questions for the staff at the Rare & Imported Pathogens lab and the new Lyme Disease Referral Clinic at Winchester before the PHE Lyme disease conference in October 2013. These were compiled by our discussion group members in collaboration. We hoped that […]

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