Polymyalgia rheumatica or Lyme disease?

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The presentation of Lyme disease may resemble that of polymyalgia rheumatica. What's more, the latter may occur in patients who have positive serologic findings for the former. In this case report, the author describes differential diagnosis in an elderly patient whose rheumatic complaints and blood chemistry profile alone could easily have led to misdiagnosis. Important points in evaluation and treatment are discussed.

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Notes on contributors

Philip W. Paparone

Philip W. Paparone, DO Dr Paparone is director of the Lyme Disease Center for South Jersey, Absecon, and director and chief of infectious disease, Atlantic City Medical Center, Pomona, and Shore Memorial Hospital, Somers Point, New Jersey.