Introduction
What is Lyme Disease
How is "Lyme Disease" Contracted
How prevalent is "Lyme Disease"
What are the co-infections and co-morbid conditions
What are the symptoms of "Lyme Disease"
How is "Lyme Disease" diagnosed
How is "Lyme Disease" treated

Traditionally, Lyme disease is defined as an infectious illness caused by the spirochete, Borrelia burgdorferi
This is technically correct; clinically the illness is much more than that, especially in the disseminated and chronic forms.
This includes infection not only from B. burgdorferi, but the many co-infections that may also result.
Furthermore, in the chronic form of Lyme, other factors can take on an ever more significant role; immune dysfunction, opportunistic infections, co-infections, biological toxins, metabolic and hormonal imbalances.

Erythema Migrans; Pathognomonic for Borreliosis; 'rash' only occurs in 40-60% of people who are bitten and contract Borrelia spp.
Early localized: single EM or rash with no constitutional symptoms.  Treat promptly and aggressively referring to ILADS or IDSA guidelines.
Early Disseminated disease: multiple lesions, constitutional symptoms, lymphadenopathy, or any other manifestations of dissemination that are 'mild' and present for less than one year, are not complicated by immune deficiency or prior steroid treatment.  Refer to a "Lyme Literate Physician.”
Late Disseminated disease: Symptoms present for more than one year, more severely ill patients, and those with prior significant steroid therapy or impaired immunity secondary to lyme disease or any other reason.  REFER to lyme literate physician and co-manage with their direction.

Symptoms in Lyme Disease
Every organ & organ system can be affected  This is a list of some of the LD symptoms by body system and is not an exhaustive compilation of possible symptoms
Neuro: headaches, facial paralysis, seizures, meningitis, stiff neck, burning, tingling or prickly sensations (parathesia), loss of reflexes, or possible increased or normal reflexes with slow return, loss of coordination and equilibrium.
Neuropsych: mood swings, irritability, anxiety, rage ("Lyme Rage"), poor concentration, cognitive loss, memory loss, loss of appetite, mental deterioration, depression, disorientation, insomnia and numerous mood and psychiatric disorders that were not present prior to lyme disease or are extremely exacerbated by lyme disease...

Diagnosis
ILADS Guidelines: based on clinical diagnosis via a scoring method. Points are added up based on exposure/possible exposure, EM, symptoms consistent with lyme, and labs are tallied.  7 or above is highly likely Lyme.  5-6 is possible, and 4 and below is unlikely...

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