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Mark E. McCaulley, MD
Steamboat Springs, Colo

Arch Intern Med. 1997;157(7):817.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

The article "The Lyme Disease Controversy: Social and Financial Costs of Misdiagnosis and Mismanagement," by Sigal,¹ presents an interesting but incomplete discussion of the controversy and disagreements facing clinicians and patients in the diagnosis and treatment of Lyme disease. Many clinicians propose that there is a significant incidence of overdiagnosis and subsequent overtreatment of Lyme disease. This opinion was prominently set forth in a 1993 article, "The Overdiagnosis of Lyme Disease," by Steere et al.² In their article, Steere and colleagues note that a significant portion of the patients who were referred to a Lyme disease clinic for difficult-to-treat or poorly responsive disease did not actually have Lyme disease but, instead, had one of a handful of other conditions that seemed to occasionally follow or be confused with Lyme disease. Lack of antibody positivity to the Lyme organism was a common factor excluding the diagnosis of Lyme disease. . . . [Full Text PDF of this Article]

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