One patient with chronic Lyme called NIH hoping for acceptance into a new study. More research. Great. At least someone with gravitas thinks the jury is still out. The questionnaire sounds promising: tick bite, EM rash, joint problems, facial palsy, fever or chill, muscle pain, stiff neck, headache, heart problems, swollen lymph nodes, shooting pains in the hands/feet, cognitive problems, trouble finding words. This is the telephone screening questionnaire.
Patient's Western blot pattern: IgMs, 23,41,18,58,66 and 93. IgGs, only 41,64 and 68 A bust. Entry into the study requires a positive ELISA and 5/10 specific IgG bands. Rare findings.
Patients with long-standing Lyme disease have variable antibody responses. New IgM reactions can develop in late Lyme disease. IgM antibodies correlate with active infection, not IgG antibodies which tend to be protective.
Patients with strong persistent IgG bands may on average be healthier than other groups.
My patient complains she is very sick while a neighbor with 8/10 bands is very well.
A prospective study of antibody patterns seen in acute Lyme patients with persistent symptoms over time could help settle the issue and be relatively easy to do.
The unproven "CDC criteria" proposed by Dressler one weekend in 1994 has remained the unchallenged law of the land.
This same patient selection criteria has been used over and over again in NIH sponsored studies.
A definitions of insanity is repeating the same thing over and over expecting a different result.
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