{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,12]],"date-time":"2026-05-12T23:24:57Z","timestamp":1778628297714,"version":"3.51.4"},"reference-count":20,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2005,12,9]],"date-time":"2005-12-09T00:00:00Z","timestamp":1134086400000},"content-version":"vor","delay-in-days":3783,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatism"],"published-print":{"date-parts":[[1995,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>We describe a 73\u2010year\u2010old forest owner with widespread erythema, myalgia, and proximal muscle weakness. The clinical signs and the results of electro\u2010myography, magnetic resonance imaging, and a muscle biopsy were consistent with dermatomyositis. However, serology was positive for <jats:italic>Borrelia burgdorferi<\/jats:italic>. More importantly, <jats:italic>B burgdorferi<\/jats:italic> DNA was detected in skin by polymerase chain reaction techniques, and spirochete\u2010like organisms were detected in the muscle by silver staining. Lyme disease with muscle involvement can mimic or trigger dermatomyositis and should be considered in the differential diagnosis of dermatomyositis.<\/jats:p>","DOI":"10.1002\/art.1780380820","type":"journal-article","created":{"date-parts":[[2007,2,15]],"date-time":"2007-02-15T02:03:49Z","timestamp":1171505029000},"page":"1157-1160","source":"Crossref","is-referenced-by-count":26,"title":["Lyme disease in a 74\u2010year\u2010old forest owner with symptoms of dermatomyositis"],"prefix":"10.1002","volume":"38","author":[{"given":"J\u00f6rg C.","family":"Hoffmann","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dirk O.","family":"Stichtenoth","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Henning","family":"Zeidler","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Follmann","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Almuth","family":"Brandis","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Gerold","family":"Stanek","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"J\u00fcrgen","family":"Wollenhaupt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2005,12,9]]},"reference":[{"key":"e_1_2_1_2_2","doi-asserted-by":"publisher","DOI":"10.1056\/NEJM198908313210906"},{"key":"e_1_2_1_3_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF01728463"},{"key":"e_1_2_1_4_2","doi-asserted-by":"publisher","DOI":"10.1001\/archneur.1987.00520190085021"},{"key":"e_1_2_1_5_2","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-109-3-245"},{"key":"e_1_2_1_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1988.tb31839.x"},{"key":"e_1_2_1_7_2","doi-asserted-by":"publisher","DOI":"10.1016\/0022-510X(89)90089-0"},{"key":"e_1_2_1_8_2","doi-asserted-by":"publisher","DOI":"10.1136\/jnnp.52.8.1002"},{"key":"e_1_2_1_9_2","doi-asserted-by":"publisher","DOI":"10.1097\/00003072-198910000-00002"},{"key":"e_1_2_1_10_2","first-page":"423","article-title":"Ungew\u00f6hnliche Erscheinungsformen der Lyme\u2010Borreliose","volume":"40","author":"Detmar U","year":"1989","journal-title":"Hautarzt"},{"key":"e_1_2_1_11_2","first-page":"172","article-title":"Shulman syndrome as precursor of acrodermatitis chronica atrophicans Herxheimer: Another manifestation of Lyme borreliosis","volume":"18","author":"Grahmann F","year":"1989","journal-title":"Zentralbl Bakteriol Suppl"},{"key":"e_1_2_1_12_2","doi-asserted-by":"publisher","DOI":"10.1007\/BF00838161"},{"key":"e_1_2_1_13_2","doi-asserted-by":"crossref","first-page":"4856","DOI":"10.1128\/iai.60.11.4856-4866.1992","article-title":"Evaluation of genetic divergence among Borrelia burgdorferi isolates by use of OspA, fla, HSP60, and HSP70 gene probes","volume":"60","author":"Wallich R","year":"1992","journal-title":"Infect Immun"},{"key":"e_1_2_1_14_2","unstructured":"MoterSE HofmannH WallichR SimonMM KramerMD: Detection of Borrelia burgdorferi sensu lato in lesional skin of patients with erythema migrans and acrodermatitis chronica atrophicans OspA\u2010specific PCR.J Clin Microbiol(in press)"},{"key":"e_1_2_1_15_2","first-page":"179","article-title":"Diagnosis of Lyme disease by demonstration of spirochetes in tissue biopsies","volume":"263","author":"De Koning J","year":"1986","journal-title":"Zentralbl Bakteriol Hyg A"},{"key":"e_1_2_1_16_2","doi-asserted-by":"crossref","first-page":"566","DOI":"10.1128\/jcm.28.3.566-572.1990","article-title":"Detection of Borrelia burgdorferi infection in Ixodes dammini ticks with the polymerase chain reaction","volume":"28","author":"Persing DH","year":"1990","journal-title":"J Clin Microbiol"},{"key":"e_1_2_1_17_2","doi-asserted-by":"crossref","first-page":"344","DOI":"10.1056\/NEJM197502132920706","article-title":"Polymyositis and dermatomyositis","volume":"292","author":"Bohan A","journal-title":"N Engl J Med"},{"key":"e_1_2_1_18_2","first-page":"387","article-title":"Molecular detection of persistent Borrelia burgdorferi in a man with dermatomyositis","volume":"10","author":"Fraser DD","year":"1992","journal-title":"Clin Exp Rheumatol"},{"key":"e_1_2_1_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/clinids\/18.2.166"},{"key":"e_1_2_1_20_2","doi-asserted-by":"publisher","DOI":"10.1016\/0049-0172(89)90058-9"},{"key":"e_1_2_1_21_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1749-6632.1988.tb31889.x"}],"container-title":["Arthritis &amp; 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