Abstract |
26 Swedish patients with erythema chronicum migrans (ECM) were studied regarding associated clinical symptoms and antibodies to Swedish Ixodes ricinus spirochete. 11/26 (42%) of the patients had associated symptoms, compared to more than 90% of 314 American patients with ECM, as described by Steere et al. Only 2/26 (8%) had multiple skin lesions, compared to 48% of the American patients. Elevated erythrocyte sedimentation rate and circulating immune complexes were demonstrated in 6/25 (24%) and 8/25 patients (32%), respectively, as against in 53% and 84%, respectively, of the American patients. The antibody response to Ixodes ricinus spirochete was measured by indirect immunofluorescence (IFA) and enzyme-linked immunosorbent assay (ELISA). Compared to the 95% percentile of controls, significantly high antibody titers were demonstrated in 3/25 (12%) by IFA, and 7/25 (28%) by ELISA. The ELISA antibody titers differed significantly (p less than 0.05) between ECM-patients and controls. The spirochetal antibody response in ECM was also compared with that in spirochete-associated disease of the central nervous system.
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Authors | G Stiernstedt, G Eriksson, W Enfors, H Jörbeck, B Svenungsson, B Sköldenberg, M Granström |
Journal | Scandinavian journal of infectious diseases
(Scand J Infect Dis)
Vol. 18
Issue 3
Pg. 217-24
( 1986)
ISSN: 0036-5548 [Print] England |
PMID | 3526531
(Publication Type: Journal Article)
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Chemical References |
- Antibodies, Bacterial
- Antigen-Antibody Complex
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Topics |
- Adolescent
- Adult
- Aged
- Antibodies, Bacterial
(immunology)
- Antigen-Antibody Complex
(immunology)
- Enzyme-Linked Immunosorbent Assay
- Erythema
(etiology, immunology)
- Female
- Fluorescent Antibody Technique
- Humans
- Male
- Middle Aged
- Skin Diseases, Infectious
(epidemiology, immunology, transmission)
- Spirochaetales Infections
(epidemiology, immunology, transmission)
- Sweden
- Ticks
(microbiology)
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