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Lyme Disease

By: Dr. Debra Primovic

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Other medical problems can lead to symptoms similar to those encountered in Lyme disease. It is important to exclude these conditions before establishing a definite diagnosis.

  • Bacterial endocarditis causing septic arthritis caused by the presence of microorganisms or toxins in the blood or tissue, or immune-mediated arthritis

  • Chronic hemarthrosis, or blood in the joints, due to coagulation defects, either congenital or acquired

  • Crystal-induced arthritis (gout, pseudogout)

  • Degenerative joint disease

  • Drug reaction (sulfadiazine reaction in Doberman pinschers)

  • Ehrlichiosis. This disease caused by parasite infection can be diagnosed with Ehrlichia serology and platelet counts.

  • Immune mediated polyarthritis

  • Musculoskeletal injury or trauma

  • Osteochondritis dissecans (OCD) – inflammation of the bone and cartilage

  • Osteopathy (any bone disease)

  • Panosteitis (inflammation of every part of a bone)

  • Rheumatoid arthritis

  • Rocky Mountain spotted fever

  • Septic arthritis

  • Systemic lupus erythematosus

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