Please see the new website dedicated to
Please see the new website dedicated to
"Symptoms of Lyme & Tick Borne Diseases"
"Symptoms of Lyme & Tick Borne Diseases"
*
Tables From- Chronic Lyme Disease: A Working Case Definition, Stricker RB, Fesler, MC
Table 1: Untreated chronic Lyme disease (CLD-U)*
Symptom/sign
Chest Pain
Fibrillation
Flutter
Murmur
Myocardial Infarction
Myocarditis
Myopericarditis
Muscle Atrophy
Synovitis
Tenosynovitis
Arthralgia (joint pain)
Arthritis
Dactylitis
Joint Warmth
Muscle Weakness
Musculoskeletal Pain
Periorbital Edema
Encephalomyelitis
Paraparesis
Encephalopathy
Neuropathy
Optic Neuritis
Transient Ischemic Attack
Blurred Vision
Eye Pain
Facial Pain
Fatigue
Headaches
Hypesthesia
Memory Difficulties
Photophobia
Progressive Visual Loss
Ptosis
Radicular Pain
Restriction of Visual Field
Tinnitus
Vertigo
Total: 37
*Symptoms and signs of chronic Lyme disease without antibiotic treatment (CLD-U). Symptoms/signs were associated with positive B. burgdorferi culture, PCR or microscopy.
Symptom/Sign Category
a) Musculoskeletal (%) - 23/59 (39)
b) Neuropsychiatric (%) - 29/59 (49)
c) Cardiovascular (%) - 7/59 (12)
Table 2: Chronic Lyme disease following limited antibiotic treatment (CLD-T)*
Symptom/sign
Muscle Atrophy
Fibromyalgia
Meningismus
Synovitis
Tenosynovitis
Arthralgia (joint pain)
Arthritis
Migratory Pain
Muscle Stiffness
Muscle Weakness
Musculoskeletal Pain
Myalgia
Torticollis
Trigger Finger
Dementia
Parkinsonism
Depressed Corneal Reflexes
Hemiparesis
Recurrent encephalomyeloradiculopathy
Trigeminal Sensory Neuropathy
Blunted Affect
Cognitive Dysfunction
Cogwheel Rigidity
Confusion
Decreased Central Vision
Decreased Verbal Fluency
Depression
Difficulty Naming Objects
Disorientation
Drooling
Fatigue
Fullness in head
Headaches
Hypalgesia
Hypesthesia
Impaired Judgment
Impaired Swallowing
Memory Difficulties
Numbness
Paresthesias
Perseveration
Poor Concentration
Poor Initiation
Radicular Pain
Tinnitus
Tremors
Vertigo
Total: 47
*Symptoms and signs of chronic Lyme disease following limited antibiotic treatment (CLD-T). Symptoms/signs were associated with positive B. burgdorferi culture, PCR or microscopy.
Symptom/Sign Category:
a) Musculoskeletal (%) - 24/73 (33)
b) Neuropsychiatric (%) - 49/73 (67)
c) Cardiovascular (%) - 0/73 (0)
SOURCE- Chronic Lyme Disease: A Working Case Definition, Stricker RB, Fesler, MC
( http://www.ilads.org/files/burrascano_0905.pdf )
CHECK LIST OF CURRENT SYMPTOMS: This is not meant to be used as a diagnostic scheme, but is provided to streamline the office interview. Note the format- complaints referable to specific organ systems and specific co-infections are clustered to clarify diagnoses and to better display multisystem involvement.
Have you had any of the following in relation to this illness? (CIRCLE “NO” OR “YES”)
Tick bite N Y “EM” rash (discrete circle) N Y
Spotted rash over large area N Y Linear, red streaks N Y
SYMPTOM OR SIGN
Persistent swollen glands
Sore throat
Fevers
Sore soles, esp. in the AM
Joint pain
Fingers, toes
Ankles, wrists
Knees, elbows
Hips, shoulders
Joint swelling
Fingers, toes
Ankles, wrists
Knees, elbows
Hips, shoulders
Unexplained back pain
Stiffness of the joints or back
Muscle pain or cramps
Obvious muscle weakness
Twitching of the face or other muscles
Confusion, difficulty thinking
Difficulty with concentration, reading, problem absorbing new information
Word search, name block
Forgetfulness, poor short term memory, poor attention
Disorientation: getting lost, going to wrong places
Speech errors- wrong word, misspeaking
Mood swings, irritability, depression
Anxiety, panic attacks
Psychosis (hallucinations, delusions, paranoia, bipolar)
Tremor
Seizures
Headache
Light sensitivity
Sound sensitivity
Vision: double, blurry, floaters
Ear pain
Hearing: buzzing, ringing, decreased hearing
Increased motion sickness, vertigo, spinning
Off balance, “tippy” feeling
Lightheadedness, wooziness, unavoidable need to sit or lie
Tingling, numbness, burning or stabbing sensations, shooting pains, skin hypersensitivity
Facial paralysis-Bell's Palsy
Dental pain
Neck creaks and cracks, stiffness, neck pain
Fatigue, tired, poor stamina
Insomnia, fractionated sleep, early awakening
Excessive night time sleep
Napping during the day
Unexplained weight gain
Unexplained weight loss
Unexplained hair loss
Pain in genital area
Unexplained menstrual irregularity
Unexplained milk production; breast pain
Irritable bladder or bladder dysfunction
Erectile dysfunction
Loss of libido
Queasy stomach or nausea
Heartburn, stomach pain
Constipation
Diarrhea
Low abdominal pain, cramps
Heart murmur or valve prolapse?
Heart palpitations or skips
“Heart block” on EKG
Chest wall pain or ribs sore
Head congestion
Breathlessness, “air hunger”, unexplained chronic cough
Night sweats
Exaggerated symptoms or worse hangover from alcohol
Symptom flares every 4 wks.
Degree of disability
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