{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T12:14:31Z","timestamp":1788869671222,"version":"build-2803163510"},"reference-count":16,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2015,2,25]],"date-time":"2015-02-25T00:00:00Z","timestamp":1424822400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"name":"CDC","award":["R01-CK-000152"],"award-info":[{"award-number":["R01-CK-000152"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Arthritis &amp; Rheumatology"],"published-print":{"date-parts":[[2015,3]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Fibromyalgia (FM) occurs in 2\u20138% of the general population, and one of the triggers may be Lyme disease. The aim of this study was to evaluate for FM in patients with culture\u2010confirmed Lyme disease.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Patients with culture\u2010confirmed Lyme disease who originally presented with erythema migrans were enrolled in a prospective study between 1991 and 2000 and have been evaluated annually to determine their long\u2010term outcomes. In 2011\u20132013, the patients were evaluated for FM, by both interview and tender point examination.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Among the 100 patients assessed, 52% were male, and the mean age was 64.9 years (median 64 years [range 42\u201386 years]). The mean duration of followup was 15.4 years (median 16 years [range 11\u201320 years]). At least 24 of the patients (24%) had experienced a second episode of erythema migrans before being evaluated for fibromyalgia. One patient (1% [95% confidence interval 0.025\u20135.4%]) met the criteria for fibromyalgia. In this patient, the symptoms consistent with fibromyalgia began &gt;19 years after Lyme disease was diagnosed.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Fibromyalgia was observed in only 1% of 100 patients with culture\u2010confirmed early Lyme disease; this frequency is consistent with that observed in the general population.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/art.38972","type":"journal-article","created":{"date-parts":[[2014,12,2]],"date-time":"2014-12-02T20:43:48Z","timestamp":1417553028000},"page":"837-839","source":"Crossref","is-referenced-by-count":20,"title":["Brief Report: Long\u2010Term Assessment of Fibromyalgia in Patients With Culture\u2010Confirmed Lyme Disease"],"prefix":"10.1002","volume":"67","author":[{"given":"Gary P.","family":"Wormser","sequence":"first","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Erica","family":"Weitzner","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donna","family":"McKenna","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Robert B.","family":"Nadelman","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carol","family":"Scavarda","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shimon","family":"Farber","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Priya","family":"Prakash","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Julia","family":"Ash","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Nowakowski","sequence":"additional","affiliation":[{"name":"New York Medical College Valhalla"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2015,2,25]]},"reference":[{"key":"e_1_2_7_2_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2014.3266"},{"key":"e_1_2_7_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.autrev.2008.07.023"},{"key":"e_1_2_7_4_1","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9343(90)90520-N"},{"key":"e_1_2_7_5_1","doi-asserted-by":"crossref","first-page":"523","DOI":"10.1542\/peds.90.4.523","article-title":"Lyme arthritis as the incorrect diagnosis in pediatric and adolescent fibromyalgia","volume":"90","author":"Sigal L","year":"1992","journal-title":"Pediatrics"},{"key":"e_1_2_7_6_1","doi-asserted-by":"publisher","DOI":"10.7326\/0003-4819-117-4-281"},{"key":"e_1_2_7_7_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780361103"},{"key":"e_1_2_7_8_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1993.03500140064037"},{"key":"e_1_2_7_9_1","first-page":"590","article-title":"Recommendations for test performance and interpretation from the Second National Conference on Serologic Diagnosis of Lyme Disease","volume":"44","author":"Centers for Disease Control and Prevention","year":"1995","journal-title":"MMWR Morb Mortal Wkly Rep"},{"key":"e_1_2_7_10_1","doi-asserted-by":"publisher","DOI":"10.1002\/art.1780330203"},{"key":"e_1_2_7_11_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20140"},{"key":"e_1_2_7_12_1","doi-asserted-by":"publisher","DOI":"10.3899\/jrheum.100594"},{"key":"e_1_2_7_13_1","doi-asserted-by":"publisher","DOI":"10.1002\/acr.20468"},{"key":"e_1_2_7_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0002-9343(03)00308-5"},{"key":"e_1_2_7_15_1","doi-asserted-by":"publisher","DOI":"10.1086\/508667"},{"key":"e_1_2_7_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.amjmed.2009.05.011"},{"key":"e_1_2_7_17_1","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dyi129"}],"container-title":["Arthritis &amp; Rheumatology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.38972","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fart.38972","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/art.38972","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,8]],"date-time":"2025-10-08T13:41:40Z","timestamp":1759930900000},"score":1,"resource":{"primary":{"URL":"https:\/\/acrjournals.onlinelibrary.wiley.com\/doi\/10.1002\/art.38972"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2,25]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2015,3]]}},"alternative-id":["10.1002\/art.38972"],"URL":"https:\/\/doi.org\/10.1002\/art.38972","archive":["Portico"],"relation":{},"ISSN":["2326-5191","2326-5205"],"issn-type":[{"value":"2326-5191","type":"print"},{"value":"2326-5205","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2,25]]}}}