Features

Lyme disease

Disease
Borrelia burgdorferi, Borreliosis

This article is best viewed in a PDF Format.

View PDF

 Get adobe

SYMPTOMS

A history of environmental exposure (such as camping in an endemic area) is significant. Flu-like symptoms often accompany the rash. Common symptoms of systemic disease include headache, fatigue, chills and arthralgias. Neck stiffness or photophobia may reflect meningitis. Common ocular symptoms include blurred or double vision, pain and photophobia.

SIGNS

Lyme disease is renowned for its protean clinical manifestations. Its progression is described in three stages, although all may co-exist.

? Stage 1: A pathognomonic, localised skin rash (Erythema migrans) develops. Erythema migrans consists of single large erythematous skin lesion, often with a pale or indurated centre ('bull's-eye'), that may expand over several days. Conjunctivitis or periorbital oedema may occur

Register now to continue reading

Thank you for visiting Optician Online. Register now to access up to 10 news and opinion articles a month.

Register

Already have an account? Sign in here

Related Articles