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Of 69 children who met criteria for LD,32%(22)had new neurologic signs,73% (16)of which were accounted for by facial palsy and aseptic meningitis. Five of those with neurologic findings also had erythema migrans(EM),and one had both EM and arthritis.Among those with neurologic involvement,boys out-numbered girls two to one.Neurologic abnormalities resolved spontaneously in five children before their serologic results were known. In our series,only 27%of children with neurologic abnormalities due to LD had a history of EM or arthritis.Seropositivity commonly constituted the primary basis for diagnosis of LD.Despite its nonspecificity, seropositivity for LD in children with neurologic symptoms usually signifies active neuroborreliosis. |
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abducens nerve paralysis
arthritis
children
encephalitis
encephalitis,focal
erythema migrans
facial nerve palsy
fever
Lyme disease
Lyme disease,children
meningitis
meningitis,aseptic
neuropathy
papilledema
skin,lesions in neurologic disorders
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