jwissmille

Title:Joint and bone involvement in Dutch patients with Lyme borreliosis
presenting with acrodermatitis chronica atrophicans.
Authors:Houtman PM, Tazelaar DJ
Source:Neth J Med 1999 Jan;54(1):5-9
Organizationepartment of Rheumatology, Tjongerschans Hospital Heerenveen, The
Netherlands.

Abstract:
We report on the radiological abnormalities of bones and joints in Dutch
patients suffering from Lyme borreliosis presenting with acrodermatitis
chronica atrophicans (A.C.A.). In a highly endemic area of the Netherlands
rheumatic complaints were mentioned by 26 out of 60 patients suffering from a
late stage of Lyme disease. Radiological findings in our group of patients were
subluxation of the toe joint and periostitis of the bones of the lower limb.

Keywords:
Acrodermatitis, ETIOLOGY, RADIOGRAPHY, Adult, Aged, Aged, 80 and over,
Antibiotics, ADMINISTRATION & DOSAGE, Arthrography, Borrelia burgdorferi,
PATHOGENICITY, Female, Human, Joint Diseases, ETIOLOGY, RADIOGRAPHY, Lyme
Disease, COMPLICATIONS, DIAGNOSIS, THERAPY, Male, Middle Age, Periostitis,
ETIOLOGY, RADIOGRAPHY, Retrospective Studies, Toe Joint, RADIOGRAPHY

Language: Eng

Unique ID: 99157849


Title:Prehistoric juvenile rheumatoid arthritis in a precontact Louisiana
native population reconsidered.
Authors:Lewis BA
Source:Am J Phys Anthropol 1998 Jun;106(2):229-48
Organizationepartment of Geography and Anthropology, Louisiana State
University, Baton Rouge, USA. galewi@unixl.sncc.lsu.edu


Abstract:
Descriptions of skeletal pathological conditions evident in the prehistoric
Tchefuncte adolescent 16ST1-14883b are clarified. The basis is reaffirmed for
assigning to the described pathological conditions a diagnostic perspective of
juvenile rheumatoid arthritis or juvenile Lyme disease--a disease that mimics
juvenile rheumatoid arthritis in its arthritic presentation--rather than of
assigning them as representative of juvenile onset ankylosing spondylitis or
other juvenile spondyloarthropathies. A hypothesis (Lewis [1994] Am. J. Phys.
Anthropol. 93:455-475) is restated that 1) the spirochete Borrelia burgdorferi
was the infectious agent responsible for prevalence of adult rheumatoid
arthritis in prehistoric southeastern Native American populations, 2) that B.
burgdorferi is a possible cause of the arthritis evident in individual
16ST1-14883b, and 3) that antibodies to B. burgdorferi provided partial
immunity to the related spirochete Treponema pallidum for the 16ST1 precontact
Tchefuncte population from Louisiana, protecting them from severe treponemal
response. Given the probable widespread existence of Ixodid tick vectors for B.
burgdorferi in prehistoric North America, coupled with the existence of
treponematosis, it follows that the transition of Native American
hunting-gathering economies to more sedentary economies would predictably be
linked to an increased incidence of treponematosis due to the loss of benefits
of the above-stated partial immunity. In other words, as prehistoric Native
American exposure to tick vectors for B. burgdorferi decreased, susceptibility
to treponematosis increased. Inferences regarding biological controls
interacting with and influencing prehistoric Native American migration patterns
are suggested from the link of B. burgdorferi to an Ixodid tick common to
northeast Asia.

Keywords:
Adolescence, Adult, Anemia, Iron-Deficiency, HISTORY, PATHOLOGY, Arthritis,
Juvenile Rheumatoid, HISTORY, PATHOLOGY, Bone and Bones, PATHOLOGY, Child,
Diagnosis, Differential, Female, History of Medicine, Ancient, Human, Indians,
North American, HISTORY, Louisiana, EPIDEMIOLOGY, Lyme Disease, EPIDEMIOLOGY,
HISTORY, PATHOLOGY, Male, Paleopathology, Prevalence, Spondylitis, Ankylosing,
HISTORY, PATHOLOGY, Treponemal Infections, EPIDEMIOLOGY, HISTORY, PATHOLOGY

Language: Eng

Unique ID: 98299256

__________________________________________________ ______

Title:[Decisive scintigraphic diagnosis in a case of Borrelia infective
sacro-iliitis]
Authors:Giovanella LC, Bestetti A, Chiti A, Castellani M, Tarolo GL
Source:Minerva Med 1993 Apr;84(4):199-201
Organization:Cattedra di Medicina Nucleare Universita degli Studi di Milano.


Abstract:
The authors describe one case of infections sacro-iliitis caused by Borrelia,
where the diagnostic procedures by conventional radiology, computerized
tomography and nuclear magnetic resonance imaging have not permitted the
localization and the assessment of joint inflammatory disease. The bone "theree
phases" scintiscan by 99m Technectium-methylene diphosphonate (99mTC-MDP) has
made it possible to localize on left sacro-iliac synchondrosis a modification
of radioactivity, due to inflammations. Next microbiological studies gave a
positive result for borrelia. The authors finish by underlying the importance
of the nuclear medicine methods in the screening of infective osteo-arthritis.

Keywords:
Adult, Arthritis, Infectious, RI, Borrelia Infections, RI, Case Report, English
Abstract, Human, Male, Sacroiliac Joint, RI, Medline File

Language: Italian

___________________________________________

Title:Infectious diseases affecting the musculoskeletal system in children and
adolescents.
Authorsressler F
Source:Curr Opin Rheumatol 1993 Sep;5(5):651-7
Organization:Medizinische Hochschule Hannover, Germany.

Abstract:
Many infectious organisms can lead to musculoskeletal symptoms in children.
This article reviews recent studies on rheumatic fever, invasive group A
streptococcal infections, septic infections of bones and soft tissues, reactive
arthritides caused by viruses, fungi or bacteria, and Lyme disease. The search
for etiologic organisms in chronic arthritis continues. Although Koch's
postulates are not fulfilled in most cases of infectious arthropathies,
progress has been made in diagnosing and treating these diseases.

Keywords:
Adolescence, Arthritis, Infectious, Arthritis, Reactive, Bacterial Infections,
Child, Human, Lyme Disease, Musculoskeletal Diseases, MICROBIOLOGY, Mycoses,
Rheumatic Fever, Septicemia, Streptococcal Infections, Streptococcus pyogenes,
Virus Diseases

Language: Eng

Unique ID: 94001372
_____________________________________________