{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,23]],"date-time":"2026-06-23T17:34:12Z","timestamp":1782236052247,"version":"3.54.5"},"reference-count":47,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T00:00:00Z","timestamp":1666310400000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/pages\/standard-publication-reuse-rights"}],"funder":[{"name":"IHU M\u00e9diterran\u00e9e Infection"},{"name":"National Research Agency","award":["ANR-10-AHU-03"],"award-info":[{"award-number":["ANR-10-AHU-03"]}]},{"name":"Region Provence Alpes C\u00f4te d\u2019Azur and European funding \u201cFEDER PIRMI.\u201d"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,8,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Media coverage of Lyme disease (LD) has led to an increase in consultations for presumed LD in Europe. However, LD is confirmed in only 10%\u201320% of patients, with a significant number remaining in a diagnostic dead-end.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Objectives<\/jats:title>\n                  <jats:p>To reach a deeper understanding of how patients themselves contribute to the diagnostic process. To describe the genesis of the LD hypothesis in care pathways.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Methods<\/jats:title>\n                  <jats:p>In 2019, 30 patients from a prospective cohort consulting in the infectious diseases department at University Hospital in Marseille for presumed LD were recruited for semistructured interviews. The inclusion criteria were: suffering from subjective symptoms for 6 months, no clinical or paraclinical argument suggesting current LD. The patients\u2019 medical trajectories were collected using a biographical approach.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Results<\/jats:title>\n                  <jats:p>The diagnosis of LD was primarily triggered by identification with personal testimonies found on the Internet. Most of patients were leading their own diagnostic investigation. The majority of participants were convinced they had LD despite the lack of medical evidence and the scepticism of their referring GP.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Conclusion<\/jats:title>\n                  <jats:p>GPs should first systematically explore patients\u2019 aetiologic representations in order to improve adherence to the diagnosis especially in the management of medically unexplained symptoms. Long COVID-19 syndrome challenge offers an opportunity to promote active patient involvement in diagnosis.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/fampra\/cmac116","type":"journal-article","created":{"date-parts":[[2022,10,21]],"date-time":"2022-10-21T07:20:21Z","timestamp":1666336821000},"page":"534-542","source":"Crossref","is-referenced-by-count":3,"title":["When the patient is making the (wrong?) diagnosis: a biographical approach to patients consulting for presumed Lyme disease"],"prefix":"10.1093","volume":"41","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3443-5937","authenticated-orcid":false,"given":"Romain","family":"Lutaud","sequence":"first","affiliation":[{"name":"Department of General Practice, Aix Marseille University , Marseille , France"},{"name":"UMR UMR 7268 ADES, EFS, CNRS, Aix-Marseille University , Marseille , France"},{"name":"ORS PACA, Observatoire r\u00e9gional de la sant\u00e9 Provence-Alpes-C\u00f4te d\u2019Azur , Marseille , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-0339-0679","authenticated-orcid":false,"given":"Pierre","family":"Verger","sequence":"additional","affiliation":[{"name":"ORS PACA, Observatoire r\u00e9gional de la sant\u00e9 Provence-Alpes-C\u00f4te d\u2019Azur , Marseille , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4675-0478","authenticated-orcid":false,"given":"Patrick","family":"Peretti-Watel","sequence":"additional","affiliation":[{"name":"UMR VITROME, Aix Marseille University, IRD, AP-HM, SSA , Marseille , France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-4575-3407","authenticated-orcid":false,"given":"Carole","family":"Eldin","sequence":"additional","affiliation":[{"name":"UMR UVE, Aix Marseille University, IRD, Inserm , Marseille , 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