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Lyme Topics Lyme Disease Symptoms

Symptoms of Lyme Disease

The clinical symptoms of Lyme disease vary among individuals at initial presentation and during the course of an infection, ranging from a relatively benign skin rash to severe arthritic and neurological symptoms.  Lyme disease is called "the great masquerader" because of its ability to mimic other illnesses. Early in the infection patients may have flu-like symptoms including headache, stiff neck, fever, muscle aches, and fatigue. Serious multi-systemic problems may start later. Late symptoms include: neurologic problems, dizziness, memory and concentration impairment, muscle weakness, joint pain and swelling, mood disorders, and heart disease. Symptoms may develop quickly or not until many months or years later as the spirochete can evade the immune response and remain dormant in the host for long periods of time.

SYMPTOM LIST

TICK BITE

Rash – occurs in less than 50% of Lyme patients
Flu-like symptoms followed by intermittent illness
Extreme fatigue

JOINTS AND MUSCULOSKELETAL SYMPTOMS

Joint pain and/or swelling
Stiffness of joints, back, neck
Muscle pain, cramps
Headache, persistent and severe    
Jaw pain

NEUROLOGICAL SYMPTOMS

Twitching of facial or other muscles
Numbness and tingling
Weakness or partial paralysis
Light-headedness or dizziness
Poor balance, difficulty walking
Burning and stabbing pains
Restless legs
Memory loss (short or long term)
Confusion (difficulty with thinking)
Speech difficulty (slurred or slow, word finding)
Seizures/stroke symptoms
Blurry or double vision, sight change
Sensitivity to light and flashing lights
Sound sensitivity
Tinnitus (ringing)

PSYCHOLOGICAL SYMPTOMS

Mood swings, irritability
Unusual depression
Panic/anxiety attacks
Aggression/rage
Obsessive-compulsive behavior
Paranoia
Suicidal thoughts

RESPIRATORY/CIRCULATORY SYMPTOMS

Recurring bronchial infections
Shortness of breath
Chest pain/rib soreness
Heart palpitations, murmurs, valve prolapse, heart attack

OTHER SYMPTOMS

Insomnia or sleeping too much
Night sweats or chills    
Swollen/painful lymph glands
Loss of sex drive
Chemical sensitivity/increased allergic reactions
Sore throat
Weight gain/loss
Skin changes/nodules under the skin, dryness

Resources:

ILADS, Lyme Disease Treatment Guidelines, Summary.
CDC, Lyme Disease Symptoms
Burrascano,  Joseph J. Advanced Topics in Lyme Disease, 2008, p. 9-10.
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