FREE NEJM E-TOC    HOME   |   SUBSCRIBE   |   CURRENT ISSUE   |   PAST ISSUES   |   COLLECTIONS   |   Search Term  Advanced Search

Sign in | Get NEJM's E-Mail Table of Contents — Free | Subscribe

Previous Volume 349:1192 September 18, 2003 Number 12 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

	Full Text PDF PDA Full Text Purchase this article Add to Personal Archive Add to Citation Manager Notify a Friend E-mail When Cited E-mail When Letters Appear Related Article Related Article by Hayes, E. B. PubMed Citation

To the Editor: Hayes and Piesman (June 12 issue)¹ state that an important strategy for preventing the late-stage manifestations of Lyme disease is the early diagnosis and treatment of erythema migrans. In Europe, in contrast to North America, a special type of late-stage borreliosis involving the skin sometimes becomes manifest years after a tick bite.² After an untreated inflammation, the extremities may become involved, with advanced atrophy of the skin (which appears like crumpled cigarette paper with visible veins). This disease is called acrodermatitis chronica atrophicans. Unlike erythema migrans, acrodermatitis chronica atrophicans does not heal without treatment. Moreover, it occurs . . . [Full Text of this Article]

Related Letters:

HIV Infection Masquerading as Monoclonal Gammopathy of Unknown Significance
Aslam A., Misbah S. A., Pantanowitz L., Lu C. M., Dezube B. J.
Extract | Full Text | PDF  
N Engl J Med 2003; 349:2362-2363, Dec 11, 2003. Correspondence

HOME  |  SUBSCRIBE  |  SEARCH  |  CURRENT ISSUE  |  PAST ISSUES  |  COLLECTIONS  |  PRIVACY  |  HELP  |  beta.nejm.org Comments and questions? Please contact us. The New England Journal of Medicine is owned, published, and copyrighted © 2009 Massachusetts Medical Society. All rights reserved.