Table 1.
Stages of Lyme borreliosis
| Localized (days to weeks post infection) |
| Erythema migrans skin lesion |
| Headache, malaise, fatigue, muscle and joint pain |
| Disseminated (weeks to months post infection) |
| Secondary annular skin lesions |
| Neuroborreliosis – meningitis, facial palsy, radiculoneuritis |
| Migratory musculoskeletal pain |
| Atrioventricular nodal heart block |
| Lymphocytomaa |
| Eye manifestations |
| Persistent (months to years post infection) |
| Migratory arthritis of large joints |
| Neuroborreliosis – meningitis, encephalitis, facial palsy, radiculoneuropathy, polyneuritis |
| Atrioventricular nodal heart block |
| Acrodermatitis chronica atrophicans skin lesionsa |
Information from Steere et al. (3) and Müllegger et al. (5)
a
Found in Eurasia