Volume 6, Number 4—August 2000
Dispatch
Lyme Disease Surveillance in England and Wales, 1986-1998
Robert Smith*, Susan O'Connell†, and Stephen Palmer‡
Table
Clinical features reported in 796 patients with Lyme borreliosis, England and Wales, 1986-1998
| 1986-1992 | 1993-1996 | 1997-98 | Total | |
|---|---|---|---|---|
| No. (%) | No. (%) | No. (%) | No. (%) | |
| Total reportsa | 227 (100) | 235 (100) | 334(100) | 796 (100) |
| Any insect bite | 67 (30) | 79 (34) | 140 (42) | 286 (36) |
| Tick bite | 53 (23) | 74 (32) | 128 (38) | 255 (32) |
| Arthritis | 16 (7) | 5 (2) | 11 (3) | 32 (4) |
| Other musculo- skeletal symptoms | 58 (26) | 31 (13) | 49 (15) | 138 (17) |
| Skin involvement | 80 (35) | 125 (53) | 204 (61) | 409 (51) |
| Erythema migrans | 64 (28) | 97 (41) | 164 (49) | 325 (41) |
| Erythema migrans & tick bite | 27 (12) | 41 (17) | 72 (22) | 140 (18) |
| Neurobor- reliosis | 47 (21) | 28 (12) | 43 (13) | 118 (15) |
| Other neurologic symptoms | 46 (20) | 16 (7) | 20 (6) | 82 (10) |
| Cardiac involvement | 2 (0.9) | 1 (0.4) | 2(0.6) | 5 (0.6) |
aPatients may have multiple exposures/symptoms.
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