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Does anyone have experience with findings in skin ultrasound of areas with suspicion of Lyme Disease? What would be the differential diagnosis?

Happy New Year to everyone! :)

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sorry, no experience  in this problem.

Happy new  year!!

Hi Fernanda:

  In patients with presumptive diagnosis of Lyme disease, usually the question for the sonographer is if we can find lesions suggestive of morphea ( cutaneous scleroderma),  because the appearance of morphea has been associated in some cases to the infection with  Borrelia burgdorferi which is the cause of Lyme Disease.

A reference for supporting the diagnosis and detecting activity of morphea on color Doppler ultrasound in:

Activity assessment in morphea using color Doppler ultrasound.J Am ...

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