Lymphocytic Lyme disease, cutaneous lymphocytic lymphoma (BL, borrelial lymphoma) is a rare cutaneous form of Lyme disease - the lymphatic reaction after a tick is revealed in less than 1% of patients. sick. Lyme borreliosis is more common in children than in adults. What are the causes and symptoms of Lyme borreliosis?

Lymphocytic Lyme disease , cutaneous lymphocytic lymphoma (BL, borrelial lymphoma) is a rare cutaneous form of Lyme disease - it occurs in less than 1% of patients. sick.

Cutaneous lymphocytic lymphoma occurs in the early stages of the disease , similar to erythema migrans. Cutaneous lymphocytic lymphoma belongs to the group of B-type pseudo-lymphomas.

Lymphatic borreliosis - causes

It is caused by bacteria classified as spirochetes -Borrelia burgdorferi .

These bacteria can occur in several forms - as spirochetes, as well as in spore forms (e.g. cysts).

Coils are very mobile, while spore forms are immobile, but they are resistant to some antibiotics that destroy spirochetes.

Lymphatic borreliosis - symptoms

Symptoms of Lyme Lyme disease are primarily a lump that is:

  • single(usually the nodule is one and quite small, but sometimes the nodules spread and reach a size of several centimeters. This happens when no antibacterial treatment is given)
  • red or cyan-red
  • skin well demarcated from the surrounding area
  • painless
  • the most common location is: auricles, scrotum and nipples

The lump may be accompanied by an enlargement of the surrounding lymph nodes.It is found more often in children than in adults.If left untreated, it may persist for several years, then resolve spontaneously.

Lyme disease - what is it manifested?

Lymphatic borreliosis - diagnosis

The diagnosis of lymphocytic Lyme disease requires the presence of antibodies againstBorrelia burgdorferiIgM or IgG in the blood.

It is recommended to perform an ELISA test, and then - in the case of persons with positive or doubtful results - determination of antibodies using the Western blot technique.

Histopathological examination is also necessary -Often, in skin samples taken from the lesion area, direct tests show the presence of spirochetes.

Lymphatic borreliosis - treatment

There is a 14-day oral treatment with antibiotics such as doxycycline (100 mg twice daily), amoxicillin (500 mg three times daily), cefuroxime-axetyl (500 mg twice daily), phenoxymethylpenicillin or azithromycin.

Lyme disease

Lyme disease is a bacterial, zoonotic disease that is transmitted by ticks. Too late diagnosed, untreated Lyme disease can cause serious complications - neurological, joint and cardiac. How is Lyme disease diagnosed and can it be successfully treated? Listen to our expert.

Source:

  1. Borrelial Lymphocytoma Cutis: A Diagnostic Dilemma, https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4248499/
  2. Borrelial Lymphocytoma in Adult Patients, https://academic.oup.com/cid/article/63/7/914/2389152/Borrelial-Lymphocytoma-in-Adult-Patients

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  • Erythema after a tick bite. How to recognize and treat severe migratory erythema?
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  • Lyme diet

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Research