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is diagnosed primarily on clinical grounds and the decision to treat early infection is based entirely on finding skin lesions consistent For this reason serologic is not beneficial or cost-effective during early Lyme disease.
Many patients who have symptoms but negative for decide not to treat because Many people are The idea of running these first is to make effective and to add more data for a firmer of Lyme disease.
leave their offices after asking them to perform a simple or other tick-borne because “We donmount?
Ordering routine preoperative laboratory for in patients with chronic nonspecific symptoms and no clinical evidence of
The monetary of is one issue. Each ELISA the patient about $25. If four hundred thousand are performed in a year, the total price is $10 million. Until recently, has not been much of a disincentive to
can be missed. The two-tier system is cumbersome and time-is ELISA positive is a Western blot run. It is because a Western blot more than doubles the of the test.
13 for about 25% of the regular lab cost. Herbs can be
Conservatively assuming that each $40 (including the assay itself, blood drawing and laboratory handling) and that 1992 and 1993 were representative years, the annual expenditure for serologic for exceeds
Officials in Connecticut conducted a laboratorybased program of surveillance for from July 1, 1984, to March 1, 1986.00%) Serological was offered without to Connecticut physicians for diagnosing Lyme disease.
Lyme borreliosis. Lancet 1998;352:557. Nichol G, Dennis DT, Steere AC, et al. effective analysis. Ann Intern Med 1998;128:37. Nocton JJ, Bloom BJ, Rutledge BJ,

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