Sudeck's atrophy in Lyme borreliosis

Infection
H R BruckbauerH Hofmann

Abstract

A patient with disseminated Lyme borreliosis is reported. The patient suffered from erythema migrans and radicular pain. Serologic tests routinely performed (IFT, ELISA, Western blots with different strains and Borrelia-LTT) were negative. However, Borrelia burgdorferi (genotype Borrelia afzelii) was cultivated from a skin biopsy. Western blot with the patient's isolate and sera showed strong reactivity only with the 60 kDa protein. In spite of immediate diagnosis and intravenous antibiotic treatment according to current recommendations he developed pain in the right ankle, which was resistant to further antibiotic and anti-inflammatory therapy. Sudeck's atrophy was diagnosed by X-ray. Treatment with calcitonin brought immediate relief from pain and led to radiographically demonstrable recalcification.

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Citations

Dec 12, 2012·Autoimmunity Reviews·Andreas Goebel, Franz Blaes
Feb 14, 2009·Pain Practice : the Official Journal of World Institute of Pain·Marissa de MosFrank J P M Huygen
Jan 27, 2012·Arthritis Care & Research·Jonathan D JonesWilliam F Rigby
Oct 21, 2016·Autoimmunity Reviews·Andrea T Borchers, M Eric Gershwin
Jul 22, 2017·Clinical Autonomic Research : Official Journal of the Clinical Autonomic Research Society·Francisco Javier Carod-Artal

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