Lyme disease X-ray

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Anmol Pitliya, M.B.B.S. M.D.[2]

Overview

There are no X-ray findings associated with Lyme disease. However, an X-ray may be helpful in the diagnosis of complications of chronic Lyme arthritis.

X-ray

  • There are no X-ray findings associated with Lyme disease. However, an X-ray may be helpful in the diagnosis of complications of chronic Lyme arthritis.
  • The majority of patients with Lyme arthritis have little/no joint dysfunction after remission of the attack.
  • In few patients with chronic Lyme arthritis, X-ray of joints may show:[1]
    • Inflammation of joints
    • Soft tissue swelling
    • Erosion and permanent damage to joint
      • Loss of articular cartilage
      • Erosion of articular cortex
      • Multiple subarticular cysts
    • Radiographic evidence of enthesopathy
    • Inflammed tendons (tendonitis)

References

  1. Steere AC, Schoen RT, Taylor E (1987). "The clinical evolution of Lyme arthritis". Ann Intern Med. 107 (5): 725–31. PMID 3662285.


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