Late & Chronic Lyme: Symptom Overlap w/ CFS & FM

Discussion in 'Fibromyalgia Main Forum' started by karynwolfe, Oct 24, 2010.

  1. karynwolfe

    karynwolfe New Member

    ProHealth article: Late and Chronic Lyme Disease: Symptom Overlap with Chronic Fatigue Syndrome & Fibromyalgia


    "Approximately 4-6 weeks following the tick bite, the first
    systemic symptoms (other than multiple rashes) occur in some
    patients, usually in the form of "flu" (15). These symptoms
    include sore throat, severe headaches and neck aches, and severe
    fatigue. Rhinitis, sinusitis, and cough are not usually present,
    distinguishing this "flu" from other influenza-like illnesses.
    While the Lyme-flu symptoms can spontaneously resolve, patients can experience recurrent "flu".

    Soon after the onset of Lyme-flu, fatigue, arthralgias and/or
    myalgias may begin. The arthralgias appear to primarily involve
    the large joints (i.e., knees, elbows, hips, shoulders), although
    smaller joints (e.g., wrists, hands, fingers, toes) may be
    involved(29). Some patients may have actual arthritis, often oligoarticular, more frequently in men than in women.
    Earlier estimates were that 50-75% of patients who developed late Lyme Disease had arthritis, but more recent analyses suggest that the incidence of actual arthritis in patients with late or chronic disease is closer to 25% (33).

    Neck stiffness is common. The pains are described as severe, jumping from joint to joint, and may be present for only short periods of time. Pain in the teeth or in the temporal-mandibular joints is not uncommon. Rib and chest pains occur frequently, leading some patients to seek care in emergency rooms and urgent care centers for evaluation of
    possible cardiac disease. Frequently as well are paresthesias such
    as burning, numbness and tingling, and itching. Some patients
    experience crawling sensations, vibrations, or electric shock-like
    sensations. Rarely is there any actual palsy of the affected areas, making this much more of a neurosensory, rather than a motor, disease.

    In addition to paresthesias, purely neurological symptoms and signs include headaches, an aseptic meningitis, facial nerve (Bell's)
    palsy, and encephalitis or encephalopathy that may be manifested by cognitive dysfunction, especially short-term memory loss, and
    psychiatric symptoms such as panic, anxiety, or depression (14).
    The aseptic meningitis and Bell's palsy tend to occur within the
    first few months following the tick bite, but may also occur as
    part of reactivation disease (9).

    Other symptoms may include fevers (usually low grade, but may be high), sweats (which may be severe), visual dysfunction (described
    primarily as blurriness, but can include optic neuritis or uveitis),
    tinnitus, sensitivity to sounds, or hearing loss. Shortness of
    breath, palpitations and/or tachycardia, abdominal pains, diarrhea or irritable bowel, testicular or pelvic pain, urinary frequency
    or urgency, dysequilibrium, and tremors are also common symptoms.
    Some of the dysautonomia symptoms can be disabling.
    [This Message was Edited on 10/24/2010]
  2. munch1958

    munch1958 Member

    You can also find Dr Donta in the movie "Under our Skin" which is a great movie on the Lyme epidemic. He is the doc that was on the IDSA's panel adopting the Lyme treatment guidelines and is the reason why the CT Atty General Blumenthal started investigating the IDSA.
  3. gapsych

    gapsych New Member

    The IDSA recommendations were eventually upheld by an independent panel picked by both the ILADS and IDSA.