Joint and bone involvement in Dutch patients with lyme borreliosis presenting with acrodermatitis chronica atrophicans

We report on the radiological abnormalities of bones and joints in Dutch pa tients suffering from Lyme borreliosis presenting with acrodermatitis chron ica atrophicans (A.C.A.). In a highly endemic area of the Netherlands rheum atic complaints were mentioned by 26 out of 60 patients suffering from a la te stage of Lyme disease. Radiological findings in our group of patients we re subluxation of the toe joint and periostitis of the bones of the lower l imb. (C) 1999 Elsevier Science B.V. All rights reserved.