LOCOMOTOR DEFECTS SECONDARY TO LYMES DISE ASE - CLINICAL AND INSTRUMENTAL CHARACTERISTICS

Locomotor system has been studied in 24 patients with a history: of Ly me's disease. All of them had arthralgia, 11 had relapsing arthritis, chronic arthritis occurred in 6 examinees. Arthritis presented as recu rrent asymmetric monooligoarthritis affecting primarily joints of the lower limbs. Periarticular disorders were detected in 12 patients. Ser ologically, 18 of 24 patients had elevated titers of antibodies to Bor relia burgdorferi in indirect immunofluorescence test. Scintigraphy re vealed polyarticular lesions in many cases, ultrasound investigation o f the joints confirmed inflammatory nature of the pathological changes . It is inferred that combined methods of examination in diagnosis of Lyme's arthritis (titers to antibodies to Borrelia burgdorferi, ultras ound investigations, scintigraphy of tile joints) provide most complet e information.