"1"^^ . . . "Lymesk\u00E1 borreli\u00F3za je infek\u010Dn\u00ED nemoc zp\u016Fsoben\u00E1 spirochetami rodu Borrelia. Onemocn\u011Bn\u00ED prob\u00EDh\u00E1 v n\u011Bkolika f\u00E1z\u00EDch a jeho projevy jsou rozmanit\u00E9. Muskuloskelet\u00E1ln\u00ED pot\u00ED\u017Ee se mohou objevit ve v\u0161ech f\u00E1z\u00EDch lymesk\u00E9 borreli\u00F3zy. V \u010Dasn\u00E9 f\u00E1zi sou\u010Dasn\u011B s erytema migrans se objevuj\u00ED artralgie bez objektivn\u00EDch p\u0159\u00EDznak\u016F kloubn\u00EDho z\u00E1n\u011Btu a mohou p\u0159etrv\u00E1vat \u0159adu m\u011Bs\u00EDc\u016F i let. Intermitentn\u00ED artritida se manifestuje ji\u017E v \u010Dasn\u00E9 f\u00E1zi borreli\u00F3zy, je obvykle monoartikul\u00E1rn\u00ED \u010Di oligoartikul\u00E1rn\u00ED asymetrick\u00E1. Frekvence atak intermitentn\u00EDch kloubn\u00EDch z\u00E1n\u011Bt\u016F se s trv\u00E1n\u00EDm onemocn\u011Bn\u00ED sni\u017Euje. Chronick\u00E1 lymesk\u00E1 artritida je velmi \u010Dasto omezena na jeden kloub, typicky koleno a jsou pro ni charakteristick\u00E9 velk\u00E9 recidivuj\u00EDc\u00ED kloubn\u00ED v\u00FDpotky. Diagnostika lymesk\u00E9 borreli\u00F3zy s muskuloskelet\u00E1ln\u00EDmi projevy je komplexn\u00ED - zalo\u017Een\u00E1 na typick\u00E9m klinick\u00E9m n\u00E1lezu, s\u00E9rologick\u00E9m vy\u0161et\u0159en\u00ED (ELISA + konfirma\u010Dn\u00ED test Western blot - imunoblot). Z\u00E1kladem l\u00E9\u010Dby kloubn\u00EDch projev\u016F lymesk\u00E9 borreli\u00F3zy je dlouhodob\u00E9 pod\u00E1v\u00E1n\u00ED antibiotick\u00E9 terapie."@cs . . "9" . "CZ - \u010Cesk\u00E1 republika" . "3"^^ . "Lyme disease and musculoskeletal system"@en . "[4DAD4B1A602D]" . . "9" . . "15110" . . "Intern\u00ED medic\u00EDna pro praxi" . . . . "Lymesk\u00E1 borreli\u00F3za a muskuloskelet\u00E1ln\u00ED syst\u00E9m" . "Lymesk\u00E1 borreli\u00F3za a muskuloskelet\u00E1ln\u00ED syst\u00E9m" . "RIV/61989592:15110/07:00004080" . . "Lyme disease is an infectious disease caused by spirochetes of Borrelia strain. The disease course has several phases and its manifestation is diverse. Musculoskeletal complains may present in any phase of Lyme disease. Artralgias occur in early phase together with erythema migrans without any objective finding on joints and may persist for many months or years. Intermittent arthritis that manifests already in early phase of borreliosis is usually monoarticular or oligoarticular and asymmetric. The frequency of flares of intermittent articular inflammations decreases with time. Chronic lyme arthritis is very frequently limited to one joint, typically a knee and is characterized by large recurrent joint effusions. The diagnosis of Lyme disease with musculoskeletal manifestation is complex and is base on typical clinical findings, serologic examination (ELISA+confirmatory test, Western blot, immunoblot). The base of treatment of articular manifestation of Lyme disease is a longterm antibiotic treatment."@en . "Lyme disease; diagnosis; treatment"@en . "Lyme disease and musculoskeletal system"@en . "1212-7299" . "RIV/61989592:15110/07:00004080!RIV08-MSM-15110___" . "Lymesk\u00E1 borreli\u00F3za a muskuloskelet\u00E1ln\u00ED syst\u00E9m"@cs . "431561" . . "398-400" . "1"^^ . . "Lymesk\u00E1 borreli\u00F3za a muskuloskelet\u00E1ln\u00ED syst\u00E9m"@cs . "Lymesk\u00E1 borreli\u00F3za je infek\u010Dn\u00ED nemoc zp\u016Fsoben\u00E1 spirochetami rodu Borrelia. Onemocn\u011Bn\u00ED prob\u00EDh\u00E1 v n\u011Bkolika f\u00E1z\u00EDch a jeho projevy jsou rozmanit\u00E9. Muskuloskelet\u00E1ln\u00ED pot\u00ED\u017Ee se mohou objevit ve v\u0161ech f\u00E1z\u00EDch lymesk\u00E9 borreli\u00F3zy. V \u010Dasn\u00E9 f\u00E1zi sou\u010Dasn\u011B s erytema migrans se objevuj\u00ED artralgie bez objektivn\u00EDch p\u0159\u00EDznak\u016F kloubn\u00EDho z\u00E1n\u011Btu a mohou p\u0159etrv\u00E1vat \u0159adu m\u011Bs\u00EDc\u016F i let. Intermitentn\u00ED artritida se manifestuje ji\u017E v \u010Dasn\u00E9 f\u00E1zi borreli\u00F3zy, je obvykle monoartikul\u00E1rn\u00ED \u010Di oligoartikul\u00E1rn\u00ED asymetrick\u00E1. Frekvence atak intermitentn\u00EDch kloubn\u00EDch z\u00E1n\u011Bt\u016F se s trv\u00E1n\u00EDm onemocn\u011Bn\u00ED sni\u017Euje. Chronick\u00E1 lymesk\u00E1 artritida je velmi \u010Dasto omezena na jeden kloub, typicky koleno a jsou pro ni charakteristick\u00E9 velk\u00E9 recidivuj\u00EDc\u00ED kloubn\u00ED v\u00FDpotky. Diagnostika lymesk\u00E9 borreli\u00F3zy s muskuloskelet\u00E1ln\u00EDmi projevy je komplexn\u00ED - zalo\u017Een\u00E1 na typick\u00E9m klinick\u00E9m n\u00E1lezu, s\u00E9rologick\u00E9m vy\u0161et\u0159en\u00ED (ELISA + konfirma\u010Dn\u00ED test Western blot - imunoblot). Z\u00E1kladem l\u00E9\u010Dby kloubn\u00EDch projev\u016F lymesk\u00E9 borreli\u00F3zy je dlouhodob\u00E9 pod\u00E1v\u00E1n\u00ED antibiotick\u00E9 terapie." . . "S" . "\u017Durek, Martin" . .