The Costs of Lyme Disease

Mark E. McCaulley, MD
Arch Intern Med. 1997;157(7):817. doi:10.1001/archinte.1997.00440280167016.
Text Size: A A A
Published online

The article "The Lyme Disease Controversy: Social and Financial Costs of Misdiagnosis and Mismanagement," by Sigal,1 presents an interesting but incomplete discussion of the controversy and disagreements facing clinicians and patients in the diagnosis and treatment of Lyme disease. Many clinicians propose that there is a significant incidence of overdiagnosis and subsequent overtreatment of Lyme disease. This opinion was prominently set forth in a 1993 article, "The Overdiagnosis of Lyme Disease," by Steere et al.2 In their article, Steere and colleagues note that a significant portion of the patients who were referred to a Lyme disease clinic for difficult-to-treat or poorly responsive disease did not actually have Lyme disease but, instead, had one of a handful of other conditions that seemed to occasionally follow or be confused with Lyme disease. Lack of antibody positivity to the Lyme organism was a common factor excluding the diagnosis of Lyme disease.


Sign In to Access Full Content

Don't have Access?

Register and get free email Table of Contents alerts, saved searches, PowerPoint downloads, CME quizzes, and more

Subscribe for full-text access to content from 1998 forward and a host of useful features

Activate your current subscription (AMA members and current subscribers)

Purchase Online Access to this article for 24 hours

First Page Preview

View Large
First page PDF preview





Meets CME requirements for:
Browse CME for all U.S. States
Accreditation Information
The American Medical Association is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. The AMA designates this journal-based CME activity for a maximum of 1 AMA PRA Category 1 CreditTM per course. Physicians should claim only the credit commensurate with the extent of their participation in the activity. Physicians who complete the CME course and score at least 80% correct on the quiz are eligible for AMA PRA Category 1 CreditTM.
Note: You must get at least of the answers correct to pass this quiz.
You have not filled in all the answers to complete this quiz
The following questions were not answered:
Sorry, you have unsuccessfully completed this CME quiz with a score of
The following questions were not answered correctly:
Commitment to Change (optional):
Indicate what change(s) you will implement in your practice, if any, based on this CME course.
Your quiz results:
The filled radio buttons indicate your responses. The preferred responses are highlighted
For CME Course: A Proposed Model for Initial Assessment and Management of Acute Heart Failure Syndromes
Indicate what changes(s) you will implement in your practice, if any, based on this CME course.
Citing articles are presented as examples only. In non-demo SCM6 implementation, integration with CrossRef’s "Cited By" API will populate this tab (http://www.crossref.org/citedby.html).
Submit a Comment


Some tools below are only available to our subscribers or users with an online account.

Sign In to Access Full Content

Related Content

Customize your page view by dragging & repositioning the boxes below.