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Les formes secondaires et tertiaires de la borréliose de Lyme posent un problème thérapeutique important du fait de l'efficacité inconstante des traitements antibiotiques. Les mécanismes physiopathologiques faisant intervenir non seulement la bactérie, mais probablement aussi des phénomènes immunologiques, l'absence de spécificité du diagnostic et la difficulté de poser les indications qui en résultent...
Objectif. - Evaluer l'interet diagnostique de la realisation systematique d'une serologie de Lyme chez les patients presentant un rhumatisme inflammatoire debutant et vivant en zone non endemique.Methodes. - Inclusion des patients hospitalises pour rhumatisme inflammatoire debutant (moins de 1 an) dans un service de rhumatologie francais situe en zone non endemique. Realisation chez tous les patients,...
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