Lyme stages and definitions

General or non-medical topics with information and discussion related to Lyme disease and other tick-borne diseases.
X-member
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Re: Lyme stages and definitions

Post by X-member » Sat 13 Dec 2014 15:52

The definition of chronic Lyme borreliosis that is used in Norway.

Kronisk borreliose; diagnostikk og behandling - pasientinformasjon

http://nevro.legehandboka.no/sykdommer- ... 41458.html

A google translated quote:
Chronic Lyme disease/borreliosis
An ongoing infection with Borrelia bacteria that has lasted more than 6 months.
Chronic Lyme borreliosis = stage 3

duncan
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Joined: Wed 5 Sep 2012 18:48

Re: Lyme stages and definitions

Post by duncan » Wed 17 Dec 2014 23:25

Yes, so in many European countries Late Stage = Stage 3 = Chronic Lyme.

The problem may rest in definitional nuance, as we've discussed before. In the U.S. chronic also means persistent. So there is a connection with the term chronic with post-treatment, i.e. Late stage that is not remedied by abx therapy, and hence is chronic or persistent. In a way, this would make chronic Lyme as it is often embraced in the US a subset of Late Stage.

I'm not suggesting one way is better than the other. I am only pointing out how definitions and cultural nuances can play a role here.

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Re: Lyme stages and definitions

Post by X-member » Thu 18 Dec 2014 13:50

Sweden.

http://www.folkhalsomyndigheten.se/page ... 101-28.pdf

A quote (translated with google translate and partly be me):
Chronic BI occur not only as the ACA and chronic arthritis, but also as late (chronic) NB with persistent symptoms and objective signs of infection, cerebrospinal fluid (csv) and blood with a duration of six months.
The conditions are present in untreated BI, but is considered rare if the right antibiotic treatment is given at an early stage.
Chronic borrelia infection (BI) = active, late borrelia infection/stage 3. No matter if an early (insufficient) treatment has been given or not.

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Re: Lyme stages and definitions

Post by X-member » Thu 18 Dec 2014 14:09

ILADS (Burrascano):

http://www.borrelia-tbe.se/media/burrguide200810.pdf
A very important issue is the definition of “Chronic Lyme Disease”. Based on my clinical data and the latest
published information, I offer the following definition. To be said to have chronic LB, these three criteria must be present:

1. Illness present for at least one year (this is approximately when immune breakdown attains clinically
significant levels).
2. Have persistent major neurologic involvement (such as encephalitis/encephalopathy, meningitis, etc.)
or active arthritic manifestations (active synovitis).
3. Still have active infection with B. burgdorferi (Bb), regardless of prior antibiotic therapy (if any).
Chronic Lyme borreliosis (according to ILADS/Burrascano) = an active, late borrelia infection/stage 3. No matter if an earlier (insufficient) treatment has been given or not.

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Re: Lyme stages and definitions

Post by X-member » Thu 26 Mar 2015 16:31

http://www.lymeneteurope.org/forum/view ... =10#p41766

A quote:
In Europe:

Acute/early (stage 1) (EM)
Acute/early disseminated (stage 2) (neuroborreliosis for example)
Chronic/late (stage 3) (chronic neuroborreliosis or ACA for example)

And an active infection after treatment is called acute/early or late/chronic persistent borreliosis after treatment.
Source: EUCALB

http://www.eucalb.com/

Edit to add:

A quote from EUCALB:
The three stages are named early localised LB, early disseminated LB and late (chronic) LB.

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