Lyme borreliosis simile: an emergent and relevant disease to dermatology in Brazil
Lyme borreliosis simile: an emergent and relevant disease to dermatology in Brazil
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DOI：
10.1590/s0365-05962005000200008
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发表时间：
2005-04-01
影响因子：
1.7
通讯作者：
Yoshinari, Natalino Hajime
中科院分区：
文献类型：
--
作者：
Fonseca, Adivaldo Henrique da;Salles, Roberto de Souza;Yoshinari, Natalino Hajime
本文综述了与疏螺旋体属螺旋体有关的疾病，这些螺旋体是许多人类和动物疾病的病原体。重点是广义伯氏疏螺旋体复合体，包括9个不同的物种，这些物种引起的疾病往往涉及多系统，并引起许多医学专业的兴趣，如皮肤病学，流变学，心脏病学和神经病学。由于病原体、临床和实验室表现与伯氏疏螺旋体、B. garinii和B. afzelli，感染必须被称为莱姆病样疾病在巴西。复发性游走性红斑是在巴西和其他国家观察到的疏螺旋体病的主要临床表现。典型的红色黄斑或丘疹性皮肤病变表现为扩展性特征，与蜱叮咬有关;此外，在远离原始部位的地方可能出现多个继发性类似病变。该病的临床表现，主要是皮肤表现，是主要的诊断参数，而血清学检查仅证实临床怀疑。
This review article presents diseases related to spirochetes of the genus Borrelia, which are the etiological agents of many human and animal diseases. Focus was given to the Borrelia burgdorferi sensu lato complex, including nine different species that cause diseases often with multisystemic involvement and raising interest to many medical specialties, such as Dermatology, Rheumatology, Cardiology and Neurology. Due to differences concerning the etiologic agent, clinical and laboratorial presentations, when comparing with Borrelia burgdorferi, B. garinii and B. afzelli, the infection must be referred as Lyme disease-like illness in Brazil. The recurrent erythema migrans is the main clinical manifestation of borreliosis observed in Brazil and in other countries. The classical reddish macular or papular skin lesion shows expanding features and is tick bite related; additionally, multiple secondary similar lesions may appear far from the original site. The clinical presentation of the disease, mainly skin manifestation, is the main diagnostic parameter, while serologic exams only confirm the clinical suspicion.