000			02023cam a2200325 4500500
005			20250121155314.0
041			_afre
042			_adc
100	1	0	_aDiaconeasa, Adriana _eauthor
700	1	0	_a Voicu, Cristiana _eauthor
700	1	0	_a Ivaniciuc, Mihaela _eauthor
700	1	0	_a Miulescu, Raluca _eauthor
700	1	0	_a Birsan, Cristina _eauthor
700	1	0	_a Angué, Chloé _eauthor
700	1	0	_a Chiriac, Anca _eauthor
700	1	0	_a Schönlebe, Jacqueline _eauthor
700	1	0	_a Wollina, Uwe _eauthor
245	0	0	_aCutaneous borreliosis in children - a challenging problem
260			_c2024.
500			_a2
520			_aBorreliosis, also known as Lyme disease, is a vector-borne disease caused by different species of the Borrelia burgdorferi complex. It is frequent in Europe and Northern America. The major vectors are ixodoid ticks. Paediatric borreliosis is common and peaks in children between five to nine years. In Europe, the leading symptom of early infection is erythema migrans, in contrast to Northern America where arthritis is the dominating clinical finding. In this review, we focus on Europe, where cutaneous borreliosis is mainly caused by infection with B. afzelii. The cutaneous symptoms include erythema migrans, lymphocytoma, chronic atrophic dermatitis and juxta-articular nodules. In children, lymphocytoma is very common but chronic atrophic dermatitis is rare. Clinical symptoms, diagnosis, peculiarities of childhood disease and treatment are also reviewed. It is important to note that after haematogeneic spread, signs of infection may be non-specific, and this is a challenge for diagnosis.
690			_aborreliosis
690			_acutaneous findings
690			_achildren
690			_atreatment
690			_acourse
690			_aLyme disease
786	0		_nEuropean Journal of Dermatology | 34 | 1 | 2024-01-01 | p. 18-25 | 1167-1122
856	4	1	_uhttps://shs.cairn.info/revue-european-journal-of-dermatology-2024-1-page-18?lang=en&redirect-ssocas=7080
999			_c604410 _d604410