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Mission Statement

The Lyme Disease Research Foundation a public non-profit organization dedicated to research into the understanding and care of patients with persistent symptoms of Lyme disease. 

Goal

The Foundation focuses on the long recognized and newly defined group of individuals with post-treatment Lyme syndrome[1].  The goal is to clearly define and understand the cause of disabling symptoms these patients may suffer and improve their diagnosis, treatment, and health outcomes.

 

Magnitude of Problem

 

Lyme disease, caused by infection with the spirochete bacteria called Borrelia burgdorferi, is the most common tick-borne disease in the United States. The number of reported cases has more than doubled between 1992 and 2006, and almost 29,000 new confirmed cases were reported in 2008. Additional studies have shown that the actual number of cases of Lyme disease may exceed reported cases by a factor of 6 to 12 in endemic areas. The threat to residents of endemic areas continues to rise as they increasingly move from cities to new suburbs and rural areas, where Lyme disease transmission is most frequent. It is known that the principle means of transmission of the disease is a tiny ticks that are carried by whitetail deer, which increasingly roam in suburban areas. 

 

Lyme disease, though now widely familiar, continues to be poorly understood and a source of intense controversy among patients and physicians.  When correctly diagnosed, the majority of patients with acute Lyme disease[2] can be successfully treated with a standard course of antibiotics.  However, 10% to 20% of patients with acute Lyme disease, after completing the standard course of antibiotic therapy, go on to develop chronic symptoms now identified as post-Lyme disease syndrome.[3]  Moreover, patients who are diagnosed with late-Lyme arthritis are also known to be at risk for developing treatment-resistant symptoms.  Treatment-resistant arthritis occurs in approximately 10% of patients after the standard course of antibiotic therapy.  Not all who contact Lyme disease are identified, diagnosed, and treated early, and 10% to 20% of people infected do not show the disease’s diagnostic marker--a circular or oval red skin lesion or rash. Many patients do not recall or recognize a tick bite, and the rash of Lyme disease may also be mistaken for a spider bite or some other irritation. These factors lead to a misdiagnosis that is further compounded when neither the patient nor a health care professional recognizes the nonspecific viral-like symptoms of acute Lyme disease.

 

As a result, patients may be treated for other infectious syndromes with common antibiotics such as cephalexin, azithromycin and ciprofloxacin which have suboptimal or no effect against the bacterial agent of Lyme disease[4]. These factors result in an undefined population of patients who have been partially and ineffectively treatment and could be at higher risk of developing post-treatment Lyme syndrome.


[1] Post-Lyme disease syndrome, post-treatment chronic Lyme disease and chronic Lyme disease are names used by different medical organizations at different times that generally refer to the same group of patients. It should not be implied that the use of Post-Lyme disease syndrome by the Foundation implies an endorsement by this Foundation of any one exclusive view regarding causation, diagnosis or treatment.           

[2] Patients diagnosed at the beginning stages through the presentation of a bulls-eye or circular rash or by identification of compatible symptoms confirmed by diagnostic testing. 

[3] The Clinical Assessment, Treatment, and Prevention of Lyme Disease, Human Granulocytic Anaplasmosis, and Babesiosis:  Clinical Practice Guidelines by the Infectious Diseases Society of America CID 2006:43 (1 November)


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