| Author/Editor | Muellegger, RR; Hofmann-Wellenhof, R; Soyer, HP; Hoedl, S | |
| Title | Concurrent acrodermatitis chronica atrophicans and circumscribed scleroderma in a female farm helper | |
| Type | članek | |
| Source | Acta Dermatovenerol Alp Pannon Adriat | |
| Vol. and No. | Letnik 3, št. 1-2 | |
| Publication year | 1994 | |
| Volume | str. 115-9 | |
| Language | eng | |
| Abstract | A 53-year old female farm helper presented with concurrent acrodermatitis chronica atrophicans and circumscribed scleroderma; both histopathologically proven. The serum IgG antibody titre against Borrelia burgdorferi was highly positive. The patient was treated with intravenous ceftriaxone (2x2 g/d) for 21 days. At the end of treatment, skin lesions of acrodermatitis chronica atrophicans had diminished, whereas the circumscribed scleroderma plaques remained unchanged. Acrodermatitis chronica atrophicans is a late chronic manifestation of Lyme borreliosis of proven borrelial etiotogy. Circumscribed scleroderma, however, is only suspected to be a cutaneous manifestation of Lyme borreliosis. The simultaneous appearance of acrodermatitis chronica atrophicans and circumscribed scleroderma in the same patient has only been reported in a few cases, and may be taken as evidence for the spirochetal origin of circumscribed scleroderma. | |
| Descriptors | LYME DISEASE ACRODERMATITIS SCLERODERMA, CIRCUMSCRIBED |