Knowledge

Chronic Lyme disease

Source đź“ť

3148:
generally avoids using the term chronic Lyme, and because of this establishment wariness, advocates who believe Lyme is a chronic infection now sometimes advise patients to avoid it too.) This version of Lyme has no consistent symptoms, no fixed criteria, and no accurate test. This Lyme is a kind of identity. Lyme is a label for a state of being, a word that conveys your understanding of your lived experience. Lyme provides the language to articulate that experience and join with others who share it. In the world of chronic Lyme, doctors are trustworthy (or not) based on their willingness to treat Lyme. Tests are trustworthy (or not) based on their ability to confirm Lyme. Lyme is the fundamental fact, and you work backward from there. Lyme is a community with a cause: the recognition of its sufferers' suffering—and, with it, the recognition of Lyme.
1483:, sometimes in people without any evidence of past infection. This viewpoint is promoted by many who have been told they have the condition by people who lack experience in science or medicine. Groups, advocates, and the small number of physicians who support the concept of chronic Lyme disease have organized to lobby for recognition of this diagnosis, as well as to argue for insurance coverage of long-term antibiotic therapy, which most insurers deny, as it is at odds with the guidelines of major medical organizations. 1443:, but often do not resemble it. True Jarisch-Herxheimer reactions are generally transient, mild, and found only within the first 24 hours of beginning antibiotics. But in online Lyme groups, patients have claimed to "herx" long after initial antibiotic treatment for durations that can last weeks. A mistaken belief that a treatment is working can cause patients to ignore serious drug side effects of antibiotics or prevent diagnosis and treatment of other true causes of worsening symptoms. 110: 1424:, have not been shown to be tick-borne or a co-infection of Lyme disease. Some may be told that they are being poisoned by mold. NIH doctor Adriana Marques has noted that patients may also be told that they have "metabolic and hormonal imbalances, immune dysfunction, heavy metal toxicity, allergies, damage by toxins, mitochondrial dysfunction and enzyme deficiencies". 1431:, another condition unrecognized by medical science. Morgellons—which is generally considered a form of delusional parasitosis by mainstream doctors—involves a belief that fibers are being produced by the skin. Among the top promoters of Morgellons is former ILADS president Raphael Stricker, who claims that CLD is causing the fibers to grow. In 2015, 1343:
studies have shown that antibiotics offer no sustained benefit in people with chronic Lyme, with evidence of both placebo effects and significant adverse effects from such treatment. Many people who believe that they have chronic Lyme have fibromyalgia. Fibromyalgia can be difficult to treat, and antibiotics do not work at all for fibromyalgia. A
1263:. Chronic Lyme disease is also distinct from the post-treatment Lyme disease syndrome (PTLDS), when symptoms linger after standard antibiotic treatments. PTLDS is estimated to occur in less than 5% of people who had Lyme disease and were treated. In contrast to these recognized medical conditions, the promotion of 3163:
Forestier, E.; Gonnet, F.; Revil-Signorat, A.; Zipper, A.C. (December 2018). "Cheminement diagnostique et vécu des patients se pensant atteints de " maladie de Lyme chronique "" [Pathway to diagnosis and real-life experience of patients believing they are affected by "chronic Lyme disease"].
3147:
For this community of patients, Lyme has come to function as something more expansive than a diagnosis. While Lyme disease is a specific medical condition—one that may manifest more severely or less, be treated more easily or less—chronic Lyme is something else altogether. (The medical establishment
1601:
The media frequently disregard complex scientific data in favor of testimonials about patients suffering from purported chronic Lyme disease and may even question the competence of clinicians who are reluctant to diagnose chronic Lyme disease ... to a great deal of public confusion with little
1446:
If a patient improves while on a treatment, experts warn that this also should not be interpreted as evidence of Lyme infection and that the treatment is working. Randomized controlled trials found that close to 40% of people with post-Lyme symptoms felt better while on placebo. An assumption that a
1455:
While there is general agreement on the optimal treatment for Lyme disease, the existence of chronic Lyme is generally rejected because there is no evidence of its existence. Even among those who believe in it, there is no consensus over its prevalence, symptoms, diagnostic criteria, or treatment.
1438:
A belief in chronic Lyme disease is often reinforced based on fallacious reasoning. For example, if a patient either feels better or feels worse after a treatment, it may be wrongly interpreted as evidence both that the diagnosis is appropriate and that the treatment is working. In the chronic Lyme
1514:
and of unduly dismissing alternative therapies and chronic Lyme disease. The investigation was closed on May 1, 2008, without charges when the IDSA agreed to submit to a review of its guidelines by a panel of independent scientists and physicians which would occur on July 30, 2009, citing mounting
1546:
The state of Connecticut, meanwhile, enacted a law on June 18, 2009, "to allow a licensed physician to prescribe, administer or dispense long-term antibiotics for a therapeutic purpose to a patient clinically diagnosed with Lyme disease." The states of Rhode Island, California, Massachusetts, New
1537:
The expert panel's review was published in 2010, with the independent doctors and scientists in the panel unanimously endorsing the guidelines, stating "No changes or revisions to the 2006 Lyme guidelines are necessary at this time", and concluding long-term antibiotic treatments are unproven and
1407:
Patients who receive a false chronic Lyme diagnosis are frequently told that they have other diagnoses that are not scientifically recognized. Infections may be diagnosed even without compatible symptom history, exposure in an endemic area, and credible positive test results. Some inappropriately
1342:
is involved in the various symptoms classed as CLD, and particularly advise against long-term antibiotic treatment as it is ineffective and potentially harmful. Prolonged antibiotic therapy presents significant risks and can have dangerous, even deadly, side effects. Randomized placebo-controlled
1622:
embraces, with bits and pieces of skimpy evidence and a whole lot more paranoid leftist fervor, the notion that "chronic Lyme disease" is a condition that the medical establishment is locked in a conspiracy to deny the existence of. The filmmakers actually bungle what should have been their real
1322:
of the antibiotics used to treat the animals in the trials versus what would be expected to be used to treat humans. The authors concluded, "There is no scientific evidence to support the hypothesis that such spirochetes, should they exist in humans, are the cause of post-Lyme disease syndrome."
1463:
which noted the diagnosis of chronic Lyme disease is used by a few physicians despite a lack of "reproducible or convincing scientific evidence", leading the authors to describe this diagnosis as "the latest in a series of syndromes that have been postulated in an attempt to attribute medically
1362:
examined a long list of symptoms attributed to CLD and remarked that it "pretty much covers everyone." Consistent with this observation, a study found that a questionnaire of non-specific symptoms based on an ILADS symptom checklist could not distinguish between patients with possible post-Lyme
1573:
and a co-discoverer and leading expert on Lyme disease, had been harassed, stalked, and threatened by patients and patient advocacy groups angry at his refusal to substantiate their diagnoses of "chronic" Lyme disease and endorse long-term antibiotic therapy. Because this intimidation included
1366:
While many people who receive CLD diagnoses have unexplained symptoms (including chronic fatigue and fibromyalgia), others have well-defined diagnoses. Cases of cancer, a brain tumor, ALS, lupus, multiple sclerosis, a thyroid disorder, and mental disorders have each been misdiagnosed as CLD.
1590:
stated nine of nineteen Internet websites surveyed contained what were described as major inaccuracies. Websites described as providing inaccurate information included several with the word "lyme" in their domain name (e.g., lymenet.org), as well as the website of the International Lyme and
1216:. Fibromyalgia can be triggered by an infection, and antibiotics are not a safe or effective treatment for post-infectious fibromyalgia. Fatigue, joint and muscle pain are also experienced by a minority of people following antibiotic treatment for Lyme disease. 1550:
Massachusetts (2016) and Rhode Island (2003) have laws mandating insurance coverage for long-term antibiotic therapy for Lyme disease when deemed medically necessary by a physician. In 1999 Connecticut had passed a similar, though somewhat more restrictive law.
1235:
and science-based treatment guidelines. Such legislation has been criticised as an example of "legislative alchemy", the process whereby pseudomedicine is legislated into practice. Some doctors view the promotion of chronic Lyme disease as an example of
3480:"Clinical Practice Guidelines by the Infectious Diseases Society of America (IDSA), American Academy of Neurology (AAN), and American College of Rheumatology (ACR): 2020 Guidelines for the Prevention, Diagnosis and Treatment of Lyme Disease" 1538:
potentially dangerous. The IDSA welcomed the final report, stating that "Our number one concern is the patients we treat, and we're glad patients and their physicians now have additional reassurance that the guidelines are medically sound."
1391:. In this sense, the goal of the label is not to identify particular objective facts that differentiate one medical condition from another; instead, the main goal is to validate the real suffering experienced by people living with an 2957:
Strizova, Zuzana; Patek, Ondrej; Vitova, Lenka; Horackova, Miroslava; Bartunkova, Jirina (October 2019). "Internet-based self-diagnosis of Lyme disease caused death in a young woman with systemic lupus erythematosus".
1476:(NIH), advise against long-term antibiotic treatment for people who identify as having chronic Lyme disease, given the lack of supporting evidence and the potential for harmful side-effects including toxicities. 1230:
In the United States, after disciplinary proceedings by state medical licensing boards, a subculture of "Lyme literate" physicians has successfully lobbied for specific legal protections, exempting them from the
1490:, cited the political controversy and high emotions as contributing to a "poisonous atmosphere" around Lyme disease, which he believes has led to doctors trying to avoid having Lyme patients in their practices. 1274:
While it is undisputed that people can have severe symptoms of an illness, the cause and appropriate treatment promoted by "chronic Lyme" advocates are controversial. The symptoms are similar to those of
1399:
for them as they cope with it. To some patients, receiving a CLD diagnosis can provide a sense of relief and optimism for the future. They may also become dedicated to fighting for recognition of CLD.
1314:
infection with antibiotics. The authors noted that none of the lingering spirochetes were associated with inflamed tissues and criticized the studies for not having considered adequately the different
1271:. In many cases there is no objective evidence that people who believe they have chronic Lyme have ever been infected with Lyme disease: standard diagnostic tests for infection are often negative. 2122:"The clinical assessment, treatment, and prevention of lyme disease, human granulocytic anaplasmosis, and babesiosis: clinical practice guidelines by the Infectious Diseases Society of America" 1208:
Despite numerous studies, there is no evidence that symptoms associated with CLD are caused by any persistent infection. The symptoms attributed to chronic Lyme are in many cases likely due to
1283:. Fibromyalgia can be triggered by an infection, and then persist when the infection is completely removed from the body. A few doctors attribute these symptoms to persistent infection with 1195:. Both the label and the belief that these people's symptoms are caused by this particular infection are generally rejected by medical professionals. Chronic Lyme disease is distinct from 2855: 1227:
therapy, particularly intravenous antibiotics. Recognised authorities advise against long-term antibiotic treatment for Lyme disease, even where some symptoms persist post-treatment.
1367:
Scientists from the Centers for Disease Control and Prevention (CDC) also documented life-threatening infections caused by unnecessary treatment with intravenous antibiotics and
3110: 2176:"Practice parameter: treatment of nervous system Lyme disease (an evidence-based review): report of the Quality Standards Subcommittee of the American Academy of Neurology" 2097: 2462:"Evidence assessments and guideline recommendations in Lyme disease: the clinical management of known tick bites, erythema migrans rashes and persistent disease" 1163: 2232: 3457: 3918: 2300: 1447:
treatment is working can be reinforced because antibiotics can have anti-inflammatory effects and many conditions tend to naturally improve over time.
1348: 3730: 1633: 1623:
subject (that the belief in chronic Lyme disease has become something of a cult, one that can ruin the lives of the people who think they have it).
1530:
described the decision as an example of the "politicization of health policy" that went against the weight of scientific evidence and may have a
557: 2322: 3795: 1524:
piece described Blumenthal's investigation as "intimidation" of scientists by an elected official with close ties to Lyme advocacy groups. The
3853: 4088: 3945: 3813:
Special Review Panel Unanimously Upholds Lyme Disease Treatment Guidelines: Short-term Antibiotics Proven to be Best Treatment for Patients
1439:
world, a patient with worsening symptoms may be told that they are "herxing". The "herxing" claims are based on a real phenomenon called a
1526: 4057: 1156: 232: 3660: 277: 17: 1480: 3759:
Kraemer JD, Gostin LO (February 2009). "Science, politics, and values: the politicization of professional practice guidelines".
1602:
appreciation of the serious harm caused to many patients who have received a misdiagnosis and have been inappropriately treated.
3815: 3734: 3731:"Agreement Ends Lyme Disease Investigation By Connecticut Attorney General: Medical Validity of IDSA Guidelines Not Challenged" 2514: 2434: 1806:
In some cases, some of the subjective symptoms such as fatigue, myalgia, or arthralgia can persist following antibiotic therapy
1465: 1371:. An adolescent girl and a woman were hospitalized for septic shock, with the woman eventually dying. Other patients developed 1327: 846: 152: 3057:"Serious Bacterial Infections Acquired During Treatment of Patients Given a Diagnosis of Chronic Lyme Disease — United States" 2914:
Cheema, Jasreen; Huynh, Aline-Claire; Prat, SĂ©bastien S. (September 2019). "Multiple Sclerosis and psychosis: A case report".
1358:
False chronic Lyme disease diagnoses are frequently justified due to non-specific symptoms that are common in the population.
2692: 1149: 806: 371: 4202: 801: 796: 647: 450: 35: 2875:"Focus on patients receiving long-term antimicrobial treatments for lyme borreliosis: No lyme but mostly mental disorders" 3271: 3132: 1929: 1720: 1593: 1458: 757: 134: 3581:, March 14, 2013. (This exchange of three letters nicely illustrates the controversy and some of the issues at stake.) 3324: 2414: 2283: 1376: 863: 730: 78: 1718:
Feder, HM; Johnson, BJB; O'Connell, S; et al. (October 2007). "A Critical Appraisal of "Chronic Lyme Disease"".
1199:, a set of lingering symptoms which may persist after successful antibiotic treatment of infection with Lyme-causing 302: 3346: 1518:
According to the agreement with Blumenthal, the IDSA Lyme disease guidelines remained in place and unchallenged. A
1487: 1135: 1105: 2430: 1597:
argued media coverage of chronic Lyme disease ignored scientific evidence in favor of anecdotes and testimonials:
4285: 1440: 1067: 1047: 257: 141: 129: 1310:
looked at several animal studies that found persistence of live but disabled spirochetes following treatment of
1196: 789: 4308: 4303: 1959: 1479:
A minority, primarily not medical practitioners, holds that chronic Lyme disease is responsible for a range of
1017: 885: 875: 764: 720: 1473: 1469: 1335: 1331: 1120: 287: 247: 93: 83:
Some jurisdictions have legislated to protect doctors offering worthless and potentially dangerous treatments
1762:"A Review of Post-treatment Lyme Disease Syndrome and Chronic Lyme Disease for the Practicing Immunologist" 1503: 1057: 982: 962: 890: 836: 3738: 4093: 4003: 1960:"Management of patients presenting with generalized musculoskeletal pain and a suspicion of Lyme disease" 1561: 1223:
are promoted for chronic Lyme disease, of which possibly the most controversial and harmful is long-term
1007: 925: 542: 425: 4168:
Cooper, JD Jr.; Feder, HM (December 2004). "Inaccurate information about lyme disease on the internet".
3425: 1387:
Among people who self-identify as having chronic Lyme, the idea of chronic Lyme functions as a type of
547: 366: 292: 1303:
that continues to cause serious symptoms even after the bacteria have been eliminated by antibiotics.
3828: 3691:"Danger ahead: politics intrude in Infectious Diseases Society of America guideline for Lyme disease" 2228: 1413: 816: 430: 376: 3799: 2254: 4035: 3923: 3890: 1464:
unexplained symptoms to particular infections." Medical authorities agree with this viewpoint: the
1280: 1213: 1095: 262: 3861: 1435:
reported that Stricker treats people who believe they have Morgellons with long-term antibiotics.
4098: 811: 769: 697: 577: 212: 4276: 3895: 2259: 2024: 1934: 1531: 1368: 752: 742: 637: 4247: 2404: 4318: 4313: 4065: 3955: 3951: 3368: 1372: 1256: 1188: 1184: 1130: 737: 667: 507: 307: 172: 4222: 3812: 3668: 3216:"Chronic Coinfections in Patients Diagnosed with Chronic Lyme Disease: A Systematic Review" 1614: 1570: 1511: 1392: 1220: 829: 612: 475: 403: 351: 272: 179: 124: 101: 49: 8: 4207: 747: 532: 445: 222: 2687:(7th ed.). Philadelphia, PA: Churchill Livingstone/Elsevier. pp. Chapter 242. 4181: 4150: 4004:"Mad Rush On Beacon Hill Sends 4 Key Bills To Baker's Desk As Legislative Session Ends" 3978: 3551: 3399: 3240: 3215: 3189: 3083: 3056: 2983: 2939: 2790: 2765: 2734: 2709: 2660: 2635: 2611: 2586: 2562: 2535: 2486: 2461: 2205: 2192: 2175: 2151: 2070: 2045: 1998: 1904: 1849: 1797: 1761: 1674: 1657: 1499: 1115: 1090: 1027: 725: 552: 460: 440: 420: 346: 3829:"An act concerning the use of long-term antibiotics for the treatment of Lyme disease" 1515:
legal costs and the difficulty of presenting scientific arguments in a legal setting.
4185: 4142: 3776: 3712: 3635: 3608: 3543: 3501: 3403: 3391: 3320: 3245: 3181: 3088: 3032: 3024: 2975: 2943: 2931: 2896: 2836: 2795: 2739: 2688: 2665: 2616: 2602: 2567: 2491: 2410: 2385: 2279: 2197: 2143: 2075: 1990: 1982: 1896: 1841: 1801: 1789: 1781: 1737: 1679: 1520: 1307: 1260: 900: 657: 622: 527: 465: 413: 314: 3571: 3555: 3193: 3019: 3002: 2987: 2002: 1853: 1510:
investigation against the IDSA, accusing the IDSA Lyme disease panel of undisclosed
4248:"Oscar documentary scandal: The real reason that too many good movies got left out" 4177: 4154: 4132: 3768: 3702: 3630: 3600: 3535: 3491: 3383: 3235: 3227: 3173: 3078: 3068: 3014: 2967: 2923: 2886: 2826: 2785: 2777: 2729: 2721: 2655: 2647: 2606: 2598: 2557: 2547: 2481: 2473: 2375: 2187: 2155: 2133: 2065: 2057: 1974: 1908: 1886: 1831: 1773: 1729: 1669: 1319: 1315: 1232: 915: 677: 537: 324: 31: 2209: 1612:
is by a director whose sister self-identified with the condition. A columnist for
3231: 3177: 2971: 2891: 2874: 2477: 2093: 1978: 1388: 1085: 1042: 627: 617: 492: 455: 393: 361: 356: 329: 267: 237: 68: 2927: 2781: 1958:
Ranque-Garnier, S.; Eldin, C.; Sault, C.; Raoult, D.; Donnet, A. (March 2019).
1777: 1608: 1408:
diagnosed "co-infections" may be based on known tick-borne infections, such as
1396: 1344: 1062: 935: 702: 687: 602: 522: 517: 2831: 2814: 2725: 2685:
Mandell, Douglas, and Bennett's principles and practice of infectious diseases
2340: 2061: 4297: 3028: 1986: 1878: 1785: 997: 972: 880: 870: 682: 597: 512: 435: 398: 341: 319: 207: 157: 2682: 1205:
bacteria, and which may have similar symptoms to those associated with CLD.
4189: 4146: 3780: 3772: 3716: 3612: 3604: 3547: 3505: 3496: 3479: 3395: 3369:"Morgellons disease etiology and therapeutic approach: a systematic review" 3249: 3185: 3092: 3073: 3036: 2979: 2935: 2900: 2840: 2799: 2743: 2669: 2620: 2571: 2552: 2495: 2389: 2201: 2147: 2079: 1994: 1925: 1900: 1845: 1793: 1741: 1683: 1575: 1566: 1359: 1300: 1276: 1268: 1237: 1209: 1192: 1052: 1022: 895: 774: 662: 587: 487: 482: 388: 383: 334: 297: 242: 227: 3315:
Marques, Adriana (2018). "Chronic Lyme Disease". In Halperin, John (ed.).
3289: 3111:"Dangerous unproven treatments for 'chronic Lyme disease' are on the rise" 1891: 1873: 2651: 2380: 2363: 1836: 1819: 1733: 1012: 930: 642: 567: 562: 502: 282: 252: 202: 197: 162: 3539: 2119: 1355:
may be responsible for manifestations of chronic Lyme disease symptoms.
1191:
to refer to their condition, even if there is no evidence that they had
3387: 2438: 2029: 1760:
Wong, Katelyn H.; Shapiro, Eugene D.; Soffer, Gary K. (February 2022).
1428: 1421: 1417: 1409: 1224: 1110: 607: 592: 582: 470: 217: 167: 3526:
Ballantyne C (November 2008). "The chronic debate over Lyme disease".
2873:
Itani, O.; Haddad, E.; Pitron, V.; Pichon, F.; Caumes, E. (May 2021).
2364:"Post-Lyme borreliosis syndrome: a meta-analysis of reported symptoms" 4280: 2098:"Long-Term Antibiotic Use For Lyme Disease Doesn't Work, Study Finds" 1507: 1289: 1252: 1032: 992: 967: 672: 632: 497: 4137: 4120: 3891:"New Vt. law aims to aid in treatment of Lyme disease as cases soar" 3477: 2636:"Antibiotic treatment of animals infected with Borrelia burgdorferi" 2510: 1662:
Transactions of the American Clinical and Climatological Association
1251:
is distinct from untreated late-stage Lyme disease, which can cause
109: 3946:"Maine Legislature clears way for long-term Lyme disease treatment" 3707: 3690: 3591:"Deceptive Lyme Disease Diagnosis Linked With Serious Infections". 3162: 2815:"Non-specific symptoms in adult patients referred to a Lyme centre" 2812: 2138: 2121: 2120:
Wormser GP; Dattwyler RJ; Shapiro ED; et al. (November 2006).
1201: 945: 853: 692: 146: 3001:
Nelson, Christina; Elmendorf, Sarah; Mead, Paul (1 January 2015).
1456:
The evidence-based perspective is exemplified by a 2007 review in
73:
Dangers of long-term antibiotic therapy, delaying appropriate care
4011: 1547:
Hampshire, Vermont, New York, Maine, and Iowa have similar laws.
1295: 1037: 955: 920: 910: 652: 3319:(2nd ed.). Wallingford Boston, MA: CABI. pp. 247–274. 2856:"Her unexplained jitteriness and weight loss were telling clues" 1717: 1658:"Bullying Borrelia: when the culture of science is under attack" 2683:
Gerald L Mandell; John E Bennett; Dolin, Raphael, eds. (2010).
1820:"Chronic Lyme disease: in defense of the scientific enterprise" 1125: 950: 905: 572: 61: 2174:
Halperin JJ, Shapiro ED, Logigian E, et al. (July 2007).
1957: 1541: 2459: 1002: 977: 858: 408: 3054: 2956: 1287:, or co-infections with other tick-borne pathogens, such as 987: 841: 56: 1427:
CLD advocates have also attempted to link Lyme disease to
2536:"Generalizability in two clinical trials of Lyme disease" 1930:"Does Everybody Have Chronic Lyme Disease? Does Anyone?" 1299:. Some conclude that the initial infection may cause an 27:
Belief that symptoms are caused by an unproven infection
2872: 2323:"Treating 'chronic Lyme disease': Is it medical fraud?" 2173: 940: 3366: 3419: 3417: 3415: 3413: 3272:"What Happens When Lyme Disease Becomes an Identity?" 3133:"What Happens When Lyme Disease Becomes an Identity?" 2233:
National Institute of Allergy and Infectious Diseases
1486:
Paul G. Auwaerter, director of infectious disease at
3308: 2025:"Lyme Disease: Questionable Diagnosis and Treatment" 3806: 3367:Beuerlein KG, Balogh EA, Feldman SR (August 2021). 3214:Lantos, Paul M.; Wormser, Gary P. (November 2014). 3000: 2406:
Conn's Current Therapy 2013: Expert Consult: Online
2301:"State official subpoenas infectious disease group" 2273: 1338:, have stated there is no convincing evidence that 3521: 3519: 3517: 3515: 3473: 3471: 3410: 3003:"Neoplasms Misdiagnosed as "Chronic Lyme Disease"" 2018: 2016: 2014: 2012: 1349:International Lyme and Associated Diseases Society 3456:Wormser, Gary; Shapiro, Eugene (11 August 2013). 2115: 2113: 2111: 1759: 4295: 4281:"Skeptoid #718: Diagnosing Chronic Lyme Disease" 3658: 3458:"The 'Chronic Lyme Disease' Label Isn't Helpful" 3362: 3360: 3055:Marzec, Natalie S.; et al. (16 June 2017). 2707: 2276:Policy & Politics in Nursing and Health Care 1634:List of diagnoses characterized as pseudoscience 1609:Under Our Skin: The Untold Story of Lyme Disease 3919:"Cuomo signs bill safeguarding Lyme treatments" 3512: 3478:Lantos, Paul M; et al. (23 January 2021). 3468: 3209: 3207: 3205: 3203: 2913: 2676: 2633: 2502: 2169: 2167: 2165: 2009: 1591:Associated Diseases Society. A 2007 article in 4211:. June 17, 2008. Retrieved September 12, 2008. 4030: 4028: 3575:, "Reinfection versus Relapse in Lyme Disease" 3455: 3126: 3124: 2806: 2587:"The role of infections in autoimmune disease" 2584: 2431:"Ten Facts You Should Know About Lyme Disease" 2320: 2108: 1655: 3884: 3882: 3880: 3878: 3758: 3628: 3357: 3213: 2402: 2292: 2278:. Elsevier Health Sciences. pp. 310–11. 1713: 1534:on future decisions by medical associations. 1243: 1157: 4161: 4086: 3752: 3661:"Lyme treatment accord ends antitrust probe" 3525: 3282: 3200: 3050: 3048: 3046: 2540:Epidemiologic Perspectives & Innovations 2403:Bope, Edward T.; Kellerman, Rick D. (2012). 2361: 2162: 1766:Clinical Reviews in Allergy & Immunology 1711: 1709: 1707: 1705: 1703: 1701: 1699: 1697: 1695: 1693: 1554: 1326:Major US medical authorities, including the 4167: 4025: 3787: 3340: 3338: 3336: 3121: 3104: 3102: 3061:MMWR. Morbidity and Mortality Weekly Report 2627: 2333: 2246: 1542:Legal mandates to cover unproven treatments 1527:Journal of the American Medical Association 4245: 4214: 4080: 3916: 3875: 3682: 3294:Centers for Disease Control and Prevention 3158: 3156: 2533: 2460:Cameron D; Johnson LB; Maloney EL (2014). 2321:Zemel L, Auwaerter PG (13 December 2019). 2223: 2221: 2219: 2086: 1920: 1918: 1651: 1649: 1569:, chief of immunology and rheumatology at 1363:symptoms and those with other conditions. 1164: 1150: 233:Association for Research and Enlightenment 4196: 4136: 3723: 3706: 3654: 3652: 3624: 3622: 3495: 3239: 3082: 3072: 3043: 3018: 2994: 2890: 2830: 2813:Zomer, T.P.; et al. (January 2019). 2789: 2733: 2659: 2610: 2561: 2551: 2485: 2409:. Elsevier Health Sciences. p. 151. 2379: 2274:Mason DJ, Leavitt JK, Chaffee MW (2014). 2191: 2137: 2069: 2022: 1890: 1835: 1690: 1673: 4118: 3688: 3451: 3449: 3447: 3333: 3317:Lyme disease: an evidence-based approach 3265: 3263: 3261: 3259: 3099: 2916:Multiple Sclerosis and Related Disorders 2759: 2757: 2755: 2753: 2578: 2508: 2423: 2092: 1867: 1865: 1863: 1588:The Pediatric Infectious Disease Journal 4275: 4089:"Stalking Dr. Steere Over Lyme Disease" 3423: 3344: 3314: 3269: 3153: 3130: 2853: 2847: 2763: 2701: 2585:Ercolini AM, Miller SD (January 2009). 2527: 2466:Expert Review of Anti-infective Therapy 2252: 2216: 1915: 1871: 1646: 1578:, Steere was assigned security guards. 1267:lyme disease has been accused of being 1183:) is the name used by some people with 14: 4296: 4220: 4112: 3888: 3846: 3821: 3816:Infectious Diseases Society of America 3796:"No changes to Lyme disease treatment" 3793: 3735:Infectious Diseases Society of America 3649: 3619: 2515:Infectious Diseases Society of America 2435:Infectious Diseases Society of America 2355: 2298: 2043: 1466:Infectious Diseases Society of America 1402: 1328:Infectious Diseases Society of America 4246:Gleiberman, Owen (20 November 2009). 4001: 3567: 3565: 3444: 3426:"Jarisch-Herxheimer and Lyme disease" 3256: 2950: 2866: 2750: 2453: 2316: 2314: 2267: 2037: 1860: 1817: 1351:(ILADS) says that the persistence of 2710:"Chronic Lyme Disease: An appraisal" 2634:Wormser GP, Schwartz I (July 2009). 2362:Cairns V, Godwin J (December 2005). 1953: 1951: 1949: 1947: 1945: 1924: 1755: 1753: 1751: 1450: 1197:post-treatment Lyme disease syndrome 1187:, such as fatigue, muscle pain, and 36:Post-treatment Lyme disease syndrome 3424:Novella, Steven (25 October 2017). 3108: 2854:Boodman, Sandra (16 October 2021). 2819:Clinical Microbiology and Infection 2511:"Lyme Disease Review Panel Hearing" 2255:"Legislative Alchemy 2014 (so far)" 1594:The New England Journal of Medicine 1459:The New England Journal of Medicine 24: 4182:10.1097/01.inf.0000145411.57449.f3 3798:. Associated Press. Archived from 3562: 2907: 2311: 2193:10.1212/01.wnl.0000265517.66976.28 2023:McSweegan, Edward (28 June 2017). 25: 4330: 4269: 3858:Rhode Island Department of Health 1967:MĂ©decine et Maladies Infectieuses 1942: 1748: 1656:Auwaerter, PG; Melia, MT (2012). 303:Chiropractic treatment techniques 3979:"Iowa Code 2021, Section 147.56" 3220:The American Journal of Medicine 2603:10.1111/j.1365-2249.2008.03834.x 1488:Johns Hopkins School of Medicine 1106:Electromagnetic hypersensitivity 108: 4239: 4203:"Film Focuses on Lyme Patients" 4121:"Lyme disease: uphill struggle" 4058:"Chapter 700c Health Insurance" 4050: 3995: 3971: 3938: 3917:John Ferro (18 December 2014). 3910: 3659:Landers, Susan J (2008-06-09). 3584: 3579:New England Journal of Medicine 3020:10.1001/jamainternmed.2014.5426 2396: 1493: 142:Alternative veterinary medicine 4221:Holden, Stephen (2009-06-19). 4002:Brown, Steve (1 August 2016). 3889:Rathke, Lisa (July 12, 2014). 3794:Singer, Stephen (2010-04-22). 2708:Marques, Adriana (June 2008). 2437:. May 10, 2011. Archived from 1811: 765:Water fluoridation controversy 721:Big Pharma conspiracy theories 13: 1: 4038:. webserver.rilin.state.ri.us 3270:Fischer, Molly (2019-07-24). 3131:Fischer, Molly (2019-07-24). 3109:Sun, Lena (26 October 2021). 1818:Baker, P. J. (14 July 2010). 1639: 1474:National Institutes of Health 1470:American Academy of Neurology 1336:National Institutes of Health 1332:American Academy of Neurology 1136:Wilson's temperature syndrome 1121:Multiple chemical sensitivity 248:Biological terrain assessment 3833:Connecticut General Assembly 3737:. 2008-05-01. Archived from 3629:Whelan, David (2007-03-12). 3484:Clinical Infectious Diseases 3345:Foley K (January 18, 2015). 3232:10.1016/j.amjmed.2014.05.036 3178:10.1016/j.revmed.2018.04.002 3166:La Revue de MĂ©decine Interne 2972:10.1016/j.jbspin.2018.12.011 2892:10.1016/j.medmal.2020.10.018 2478:10.1586/14787210.2014.940900 2341:"Post Lyme Disease Syndrome" 2299:Warner, Susan (2007-02-07). 2253:Bellamy, Jann (2014-05-15). 2050:Infect. Dis. Clin. North Am. 1979:10.1016/j.medmal.2019.01.008 1504:Connecticut Attorney General 7: 4094:The New York Times Magazine 4087:Grann, David (2001-06-17). 2928:10.1016/j.msard.2019.06.001 2782:10.1136/bmj.39363.530961.AD 2343:. Cdc.gov. February 7, 2013 1668:: 79–89, discussion 89-90. 1627: 1562:The New York Times Magazine 1441:Jarisch–Herxheimer reaction 1382: 1221:alternative health products 797:Alternative medical systems 426:Fabunan Antiviral Injection 192:Fringe medicine and science 10: 4335: 4119:Abbott A (February 2006). 3854:"Lyme Disease and the Law" 3689:Klein JO (November 2008). 2509:Phillips, S (2006-07-30). 1778:10.1007/s12016-021-08906-w 1606:The 2008 documentary film 1244:Description and background 807:Biologically based therapy 367:Dental amalgam controversy 29: 2832:10.1016/j.cmi.2018.09.016 2764:Tonks A (November 2007). 2726:10.1016/j.idc.2007.12.011 2062:10.1016/j.idc.2015.02.006 1555:Harassment of researchers 431:Facilitated communication 77: 67: 55: 48: 43: 3924:The Poughkeepsie Journal 3432:. Science-based Medicine 3430:sciencebasedmedicine.org 3347:"Diagnosis or Delusion?" 2714:Infect Dis Clin North Am 1581: 1281:chronic fatigue syndrome 1214:chronic fatigue syndrome 1096:Candida hypersensitivity 278:Fake COVID-19 treatments 92:This article is part of 30:Not to be confused with 18:Lyme disease controversy 2879:Infectious Diseases Now 2044:Lantos PM (June 2015). 770:COVID-19 misinformation 698:Young blood transfusion 578:Orthomolecular medicine 543:Mind–body interventions 213:Anthroposophic medicine 153:Rise of modern medicine 50:Pseudomedical diagnosis 3896:The Providence Journal 3860:. 2009. Archived from 3773:10.1001/jama.301.6.665 3605:10.1001/jama.2017.8897 3074:10.15585/mmwr.mm6623a3 3007:JAMA Internal Medicine 2553:10.1186/1742-5573-3-12 2260:Science Based Medicine 2229:"Chronic Lyme Disease" 2046:"Chronic Lyme disease" 1935:Science Based Medicine 1872:Wolfe F (April 2009). 1625: 1604: 802:Mind–body intervention 753:MMR vaccine and autism 743:Vaccine misinformation 638:Rapid prompting method 4309:Alternative diagnoses 4304:Medical controversies 3956:Maine Sunday Telegram 3952:Portland Press Herald 3665:American Medical News 1892:10.3899/jrheum.081180 1620: 1599: 1512:conflicts of interest 1373:Staphylococcus aureus 1257:peripheral neuropathy 1189:cognitive dysfunction 1185:non-specific symptoms 1131:Vertebral subluxation 1080:Alternative diagnoses 668:Thought Field Therapy 308:Vertebral subluxation 4252:Entertainment Weekly 4170:Pediatr Infect Dis J 4010:. Morning Edition – 3497:10.1093/cid/ciaa1215 2652:10.1128/CMR.00004-09 2640:Clin. Microbiol. Rev 1837:10.1096/fj.10-167247 1734:10.1056/NEJMra072023 1615:Entertainment Weekly 1571:Tufts Medical Center 1481:unexplained symptoms 1249:Chronic Lyme disease 1177:Chronic Lyme disease 1101:Chronic Lyme disease 830:Traditional medicine 812:Manipulative methods 613:Postural Integration 476:Bach flower remedies 352:Craniosacral therapy 180:Therapeutic nihilism 125:Alternative medicine 102:Alternative medicine 44:Chronic Lyme disease 4208:The Washington Post 3540:10.1038/nm1108-1135 2534:Cameron DJ (2006). 2235:. November 21, 2018 1874:"Fibromyalgia wars" 1618:wrote of the film: 1403:Discredited beliefs 1301:autoimmune reaction 748:Vaccines and autism 738:Anti-vaccinationism 731:OPV AIDS hypothesis 533:Megavitamin therapy 446:Functional medicine 223:Applied kinesiology 119:General information 4279:(March 10, 2020). 4227:The New York Times 4068:on 10 October 2015 3462:The New York Times 3388:10.5070/D327854682 3290:"Lyme disease FAQ" 2591:Clin. Exp. Immunol 2381:10.1093/ije/dyi129 2327:Connecticut Mirror 1500:Richard Blumenthal 1116:Leaky gut syndrome 1091:Aerotoxic syndrome 1028:Prophetic medicine 726:HIV/AIDS denialism 553:Myofascial release 461:Holistic dentistry 441:Feldenkrais Method 421:Estrogen dominance 347:Conversion therapy 3818:. April 22, 2010. 3733:(Press release). 3695:Clin. Infect. Dis 3376:Dermatol Online J 3226:(11): 1105–1110. 2694:978-0-443-06839-3 2126:Clin. Infect. Dis 1824:The FASEB Journal 1451:Political actions 1393:invisible illness 1261:encephalomyelitis 1174: 1173: 901:Chinese herbology 658:Scientific racism 623:Psychodermatology 528:Medical intuitive 508:Lightning Process 466:Hologram bracelet 414:Therapeutic touch 315:Christian Science 288:Cancer treatments 87: 86: 16:(Redirected from 4326: 4290: 4263: 4262: 4260: 4258: 4243: 4237: 4236: 4234: 4233: 4218: 4212: 4200: 4194: 4193: 4176:(12): 11050–58. 4165: 4159: 4158: 4140: 4131:(7076): 524–25. 4116: 4110: 4109: 4107: 4106: 4101:on 2 August 2009 4097:. Archived from 4084: 4078: 4077: 4075: 4073: 4064:. Archived from 4054: 4048: 4047: 4045: 4043: 4032: 4023: 4022: 4020: 4018: 3999: 3993: 3992: 3990: 3988: 3983: 3975: 3969: 3968: 3966: 3964: 3942: 3936: 3935: 3933: 3931: 3914: 3908: 3907: 3905: 3903: 3886: 3873: 3872: 3870: 3869: 3850: 3844: 3843: 3841: 3840: 3825: 3819: 3810: 3804: 3803: 3802:on June 4, 2015. 3791: 3785: 3784: 3756: 3750: 3749: 3747: 3746: 3727: 3721: 3720: 3710: 3686: 3680: 3679: 3677: 3676: 3667:. Archived from 3656: 3647: 3646: 3644: 3643: 3626: 3617: 3616: 3599:(4): 324. 2017. 3588: 3582: 3569: 3560: 3559: 3523: 3510: 3509: 3499: 3475: 3466: 3465: 3453: 3442: 3441: 3439: 3437: 3421: 3408: 3407: 3373: 3364: 3355: 3354: 3342: 3331: 3330: 3312: 3306: 3305: 3303: 3301: 3286: 3280: 3279: 3267: 3254: 3253: 3243: 3211: 3198: 3197: 3160: 3151: 3150: 3144: 3143: 3128: 3119: 3118: 3106: 3097: 3096: 3086: 3076: 3052: 3041: 3040: 3022: 2998: 2992: 2991: 2960:Joint Bone Spine 2954: 2948: 2947: 2911: 2905: 2904: 2894: 2870: 2864: 2863: 2851: 2845: 2844: 2834: 2810: 2804: 2803: 2793: 2776:(7626): 910–12. 2761: 2748: 2747: 2737: 2705: 2699: 2698: 2680: 2674: 2673: 2663: 2631: 2625: 2624: 2614: 2582: 2576: 2575: 2565: 2555: 2531: 2525: 2524: 2522: 2521: 2506: 2500: 2499: 2489: 2457: 2451: 2450: 2448: 2446: 2427: 2421: 2420: 2400: 2394: 2393: 2383: 2359: 2353: 2352: 2350: 2348: 2337: 2331: 2330: 2318: 2309: 2308: 2296: 2290: 2289: 2271: 2265: 2264: 2250: 2244: 2243: 2241: 2240: 2225: 2214: 2213: 2195: 2171: 2160: 2159: 2141: 2132:(9): 1089–1134. 2117: 2106: 2105: 2094:Salzberg, Steven 2090: 2084: 2083: 2073: 2041: 2035: 2034: 2020: 2007: 2006: 1964: 1955: 1940: 1939: 1922: 1913: 1912: 1894: 1869: 1858: 1857: 1839: 1815: 1809: 1808: 1757: 1746: 1745: 1715: 1688: 1687: 1677: 1653: 1586:A 2004 study in 1375:and intractable 1320:pharmacokinetics 1316:pharmacodynamics 1233:standard of care 1166: 1159: 1152: 916:Gill plate trade 678:Vaginal steaming 325:Colloidal silver 293:Charcoal cleanse 112: 89: 88: 41: 40: 32:Neuroborreliosis 21: 4334: 4333: 4329: 4328: 4327: 4325: 4324: 4323: 4294: 4293: 4272: 4267: 4266: 4256: 4254: 4244: 4240: 4231: 4229: 4219: 4215: 4201: 4197: 4166: 4162: 4138:10.1038/439524a 4117: 4113: 4104: 4102: 4085: 4081: 4071: 4069: 4056: 4055: 4051: 4041: 4039: 4034: 4033: 4026: 4016: 4014: 4000: 3996: 3986: 3984: 3981: 3977: 3976: 3972: 3962: 3960: 3944: 3943: 3939: 3929: 3927: 3915: 3911: 3901: 3899: 3887: 3876: 3867: 3865: 3852: 3851: 3847: 3838: 3836: 3827: 3826: 3822: 3811: 3807: 3792: 3788: 3757: 3753: 3744: 3742: 3729: 3728: 3724: 3687: 3683: 3674: 3672: 3671:on 11 June 2008 3657: 3650: 3641: 3639: 3627: 3620: 3590: 3589: 3585: 3570: 3563: 3534:(11): 1135–39. 3524: 3513: 3476: 3469: 3454: 3445: 3435: 3433: 3422: 3411: 3371: 3365: 3358: 3343: 3334: 3327: 3313: 3309: 3299: 3297: 3288: 3287: 3283: 3268: 3257: 3212: 3201: 3172:(12): 912–917. 3161: 3154: 3141: 3139: 3129: 3122: 3115:Washington Post 3107: 3100: 3067:(23): 607–609. 3053: 3044: 2999: 2995: 2955: 2951: 2912: 2908: 2871: 2867: 2860:Washington Post 2852: 2848: 2811: 2807: 2762: 2751: 2706: 2702: 2695: 2681: 2677: 2632: 2628: 2583: 2579: 2532: 2528: 2519: 2517: 2507: 2503: 2458: 2454: 2444: 2442: 2441:on May 29, 2013 2429: 2428: 2424: 2417: 2401: 2397: 2368:Int J Epidemiol 2360: 2356: 2346: 2344: 2339: 2338: 2334: 2319: 2312: 2297: 2293: 2286: 2272: 2268: 2251: 2247: 2238: 2236: 2227: 2226: 2217: 2172: 2163: 2118: 2109: 2091: 2087: 2042: 2038: 2021: 2010: 1962: 1956: 1943: 1923: 1916: 1870: 1861: 1830:(11): 4175–77. 1816: 1812: 1758: 1749: 1728:(14): 1422–30. 1716: 1691: 1654: 1647: 1642: 1630: 1584: 1557: 1544: 1532:chilling effect 1496: 1472:, CDC, and the 1453: 1416:. Others, like 1405: 1395:and to provide 1389:social identity 1385: 1369:immunoglobulins 1246: 1170: 1141: 1140: 1086:Adrenal fatigue 1081: 1073: 1072: 847:Southern Africa 832: 822: 821: 792: 790:Classifications 782: 781: 758:in chiropractic 716: 708: 707: 628:Quantum healing 618:Psychic surgery 493:Ionized jewelry 456:Herbal medicine 404:Esoteric energy 394:Energy medicine 362:Cupping therapy 357:Crystal healing 330:Colon cleansing 268:Bowen technique 238:Auriculotherapy 193: 185: 184: 120: 69:Treatment risks 39: 28: 23: 22: 15: 12: 11: 5: 4332: 4322: 4321: 4316: 4311: 4306: 4292: 4291: 4277:Dunning, Brian 4271: 4270:External links 4268: 4265: 4264: 4238: 4213: 4195: 4160: 4111: 4079: 4049: 4024: 3994: 3970: 3937: 3909: 3874: 3864:on May 2, 2005 3845: 3820: 3805: 3786: 3751: 3722: 3708:10.1086/592247 3701:(9): 1197–99. 3681: 3648: 3618: 3583: 3573:Correspondence 3561: 3511: 3467: 3443: 3409: 3356: 3332: 3326:978-1786392077 3325: 3307: 3296:. 13 June 2022 3281: 3255: 3199: 3152: 3120: 3098: 3042: 3013:(1): 132–133. 2993: 2966:(5): 650–651. 2949: 2906: 2885:(3): 300–303. 2865: 2846: 2805: 2749: 2700: 2693: 2675: 2626: 2577: 2526: 2501: 2472:(9): 1103–35. 2452: 2422: 2416:978-1455733347 2415: 2395: 2374:(6): 1340–45. 2354: 2332: 2310: 2291: 2285:978-0323316064 2284: 2266: 2245: 2215: 2161: 2139:10.1086/508667 2107: 2096:(2016-04-04). 2085: 2036: 2008: 1941: 1928:(2013-09-03). 1914: 1859: 1810: 1772:(1): 264–271. 1747: 1689: 1644: 1643: 1641: 1638: 1637: 1636: 1629: 1626: 1583: 1580: 1565:reported that 1556: 1553: 1543: 1540: 1495: 1492: 1452: 1449: 1404: 1401: 1397:social support 1384: 1381: 1353:B. burgdorferi 1345:pressure group 1312:B. burgdorferi 1245: 1242: 1172: 1171: 1169: 1168: 1161: 1154: 1146: 1143: 1142: 1139: 1138: 1133: 1128: 1123: 1118: 1113: 1108: 1103: 1098: 1093: 1088: 1082: 1079: 1078: 1075: 1074: 1071: 1070: 1065: 1060: 1055: 1050: 1045: 1040: 1035: 1030: 1025: 1020: 1015: 1010: 1005: 1000: 995: 990: 985: 980: 975: 970: 965: 960: 959: 958: 953: 948: 943: 938: 936:Pressure point 933: 928: 923: 918: 913: 908: 903: 898: 888: 883: 878: 873: 868: 867: 866: 861: 851: 850: 849: 844: 833: 828: 827: 824: 823: 820: 819: 817:Energy therapy 814: 809: 804: 799: 793: 788: 787: 784: 783: 780: 779: 778: 777: 767: 762: 761: 760: 755: 750: 745: 735: 734: 733: 723: 717: 714: 713: 710: 709: 706: 705: 703:Zero balancing 700: 695: 690: 688:Vision therapy 685: 680: 675: 670: 665: 660: 655: 650: 645: 640: 635: 630: 625: 620: 615: 610: 605: 603:Parapsychology 600: 595: 590: 585: 580: 575: 570: 565: 560: 555: 550: 545: 540: 535: 530: 525: 523:Manual therapy 520: 518:Magnet therapy 515: 510: 505: 500: 495: 490: 485: 480: 479: 478: 468: 463: 458: 453: 448: 443: 438: 433: 428: 423: 418: 417: 416: 411: 406: 401: 391: 386: 381: 380: 379: 372:Detoxification 369: 364: 359: 354: 349: 344: 339: 338: 337: 327: 322: 317: 312: 311: 310: 305: 295: 290: 285: 280: 275: 270: 265: 260: 255: 250: 245: 240: 235: 230: 225: 220: 215: 210: 205: 200: 194: 191: 190: 187: 186: 183: 182: 177: 176: 175: 165: 160: 155: 150: 149:(health fraud) 144: 139: 138: 137: 132: 121: 118: 117: 114: 113: 105: 104: 98: 97: 85: 84: 81: 75: 74: 71: 65: 64: 59: 53: 52: 46: 45: 26: 9: 6: 4: 3: 2: 4331: 4320: 4317: 4315: 4312: 4310: 4307: 4305: 4302: 4301: 4299: 4288: 4287: 4282: 4278: 4274: 4273: 4253: 4249: 4242: 4228: 4224: 4217: 4210: 4209: 4204: 4199: 4191: 4187: 4183: 4179: 4175: 4171: 4164: 4156: 4152: 4148: 4144: 4139: 4134: 4130: 4126: 4122: 4115: 4100: 4096: 4095: 4090: 4083: 4067: 4063: 4059: 4053: 4037: 4036:"Chapter 113" 4031: 4029: 4013: 4009: 4005: 3998: 3980: 3974: 3958: 3957: 3953: 3947: 3941: 3926: 3925: 3920: 3913: 3898: 3897: 3892: 3885: 3883: 3881: 3879: 3863: 3859: 3855: 3849: 3834: 3830: 3824: 3817: 3814: 3809: 3801: 3797: 3790: 3782: 3778: 3774: 3770: 3767:(6): 665–67. 3766: 3762: 3755: 3741:on 2018-01-19 3740: 3736: 3732: 3726: 3718: 3714: 3709: 3704: 3700: 3696: 3692: 3685: 3670: 3666: 3662: 3655: 3653: 3638: 3637: 3632: 3625: 3623: 3614: 3610: 3606: 3602: 3598: 3594: 3587: 3580: 3576: 3574: 3568: 3566: 3557: 3553: 3549: 3545: 3541: 3537: 3533: 3529: 3522: 3520: 3518: 3516: 3507: 3503: 3498: 3493: 3490:(1): e1–e48. 3489: 3485: 3481: 3474: 3472: 3463: 3459: 3452: 3450: 3448: 3431: 3427: 3420: 3418: 3416: 3414: 3405: 3401: 3397: 3393: 3389: 3385: 3381: 3377: 3370: 3363: 3361: 3352: 3348: 3341: 3339: 3337: 3328: 3322: 3318: 3311: 3295: 3291: 3285: 3277: 3273: 3266: 3264: 3262: 3260: 3251: 3247: 3242: 3237: 3233: 3229: 3225: 3221: 3217: 3210: 3208: 3206: 3204: 3195: 3191: 3187: 3183: 3179: 3175: 3171: 3168:(in French). 3167: 3159: 3157: 3149: 3138: 3134: 3127: 3125: 3116: 3112: 3105: 3103: 3094: 3090: 3085: 3080: 3075: 3070: 3066: 3062: 3058: 3051: 3049: 3047: 3038: 3034: 3030: 3026: 3021: 3016: 3012: 3008: 3004: 2997: 2989: 2985: 2981: 2977: 2973: 2969: 2965: 2961: 2953: 2945: 2941: 2937: 2933: 2929: 2925: 2921: 2917: 2910: 2902: 2898: 2893: 2888: 2884: 2880: 2876: 2869: 2861: 2857: 2850: 2842: 2838: 2833: 2828: 2824: 2820: 2816: 2809: 2801: 2797: 2792: 2787: 2783: 2779: 2775: 2771: 2767: 2760: 2758: 2756: 2754: 2745: 2741: 2736: 2731: 2727: 2723: 2720:(2): 341–60. 2719: 2715: 2711: 2704: 2696: 2690: 2686: 2679: 2671: 2667: 2662: 2657: 2653: 2649: 2646:(3): 387–95. 2645: 2641: 2637: 2630: 2622: 2618: 2613: 2608: 2604: 2600: 2596: 2592: 2588: 2581: 2573: 2569: 2564: 2559: 2554: 2549: 2545: 2541: 2537: 2530: 2516: 2512: 2505: 2497: 2493: 2488: 2483: 2479: 2475: 2471: 2467: 2463: 2456: 2440: 2436: 2432: 2426: 2418: 2412: 2408: 2407: 2399: 2391: 2387: 2382: 2377: 2373: 2369: 2365: 2358: 2342: 2336: 2328: 2324: 2317: 2315: 2306: 2305:The Scientist 2302: 2295: 2287: 2281: 2277: 2270: 2262: 2261: 2256: 2249: 2234: 2230: 2224: 2222: 2220: 2211: 2207: 2203: 2199: 2194: 2189: 2186:(1): 91–102. 2185: 2181: 2177: 2170: 2168: 2166: 2157: 2153: 2149: 2145: 2140: 2135: 2131: 2127: 2123: 2116: 2114: 2112: 2103: 2099: 2095: 2089: 2081: 2077: 2072: 2067: 2063: 2059: 2056:(2): 325–40. 2055: 2051: 2047: 2040: 2032: 2031: 2026: 2019: 2017: 2015: 2013: 2004: 2000: 1996: 1992: 1988: 1984: 1980: 1976: 1973:(2): 157–66. 1972: 1968: 1961: 1954: 1952: 1950: 1948: 1946: 1937: 1936: 1931: 1927: 1926:Hall, Harriet 1921: 1919: 1910: 1906: 1902: 1898: 1893: 1888: 1885:(4): 679–83. 1884: 1881: 1880: 1879:J. Rheumatol. 1875: 1868: 1866: 1864: 1855: 1851: 1847: 1843: 1838: 1833: 1829: 1825: 1821: 1814: 1807: 1803: 1799: 1795: 1791: 1787: 1783: 1779: 1775: 1771: 1767: 1763: 1756: 1754: 1752: 1743: 1739: 1735: 1731: 1727: 1723: 1722: 1714: 1712: 1710: 1708: 1706: 1704: 1702: 1700: 1698: 1696: 1694: 1685: 1681: 1676: 1671: 1667: 1663: 1659: 1652: 1650: 1645: 1635: 1632: 1631: 1624: 1619: 1617: 1616: 1611: 1610: 1603: 1598: 1596: 1595: 1589: 1579: 1577: 1576:death threats 1572: 1568: 1564: 1563: 1552: 1548: 1539: 1535: 1533: 1529: 1528: 1523: 1522: 1516: 1513: 1509: 1505: 1501: 1491: 1489: 1484: 1482: 1477: 1475: 1471: 1467: 1462: 1460: 1448: 1444: 1442: 1436: 1434: 1430: 1425: 1423: 1419: 1415: 1411: 1400: 1398: 1394: 1390: 1380: 1378: 1374: 1370: 1364: 1361: 1356: 1354: 1350: 1346: 1341: 1337: 1333: 1329: 1324: 1321: 1317: 1313: 1309: 1304: 1302: 1298: 1297: 1292: 1291: 1286: 1282: 1278: 1272: 1270: 1266: 1262: 1258: 1254: 1250: 1241: 1239: 1234: 1228: 1226: 1222: 1217: 1215: 1211: 1206: 1204: 1203: 1198: 1194: 1190: 1186: 1182: 1178: 1167: 1162: 1160: 1155: 1153: 1148: 1147: 1145: 1144: 1137: 1134: 1132: 1129: 1127: 1124: 1122: 1119: 1117: 1114: 1112: 1109: 1107: 1104: 1102: 1099: 1097: 1094: 1092: 1089: 1087: 1084: 1083: 1077: 1076: 1069: 1066: 1064: 1061: 1059: 1056: 1054: 1051: 1049: 1046: 1044: 1041: 1039: 1036: 1034: 1031: 1029: 1026: 1024: 1021: 1019: 1016: 1014: 1011: 1009: 1006: 1004: 1001: 999: 996: 994: 991: 989: 986: 984: 981: 979: 976: 974: 973:Faith healing 971: 969: 966: 964: 961: 957: 954: 952: 949: 947: 944: 942: 939: 937: 934: 932: 929: 927: 924: 922: 919: 917: 914: 912: 909: 907: 904: 902: 899: 897: 894: 893: 892: 889: 887: 884: 882: 881:Bush medicine 879: 877: 874: 872: 871:Balneotherapy 869: 865: 862: 860: 857: 856: 855: 852: 848: 845: 843: 840: 839: 838: 835: 834: 831: 826: 825: 818: 815: 813: 810: 808: 805: 803: 800: 798: 795: 794: 791: 786: 785: 776: 773: 772: 771: 768: 766: 763: 759: 756: 754: 751: 749: 746: 744: 741: 740: 739: 736: 732: 729: 728: 727: 724: 722: 719: 718: 715:Controversies 712: 711: 704: 701: 699: 696: 694: 691: 689: 686: 684: 683:Vegetotherapy 681: 679: 676: 674: 671: 669: 666: 664: 661: 659: 656: 654: 651: 649: 646: 644: 641: 639: 636: 634: 631: 629: 626: 624: 621: 619: 616: 614: 611: 609: 606: 604: 601: 599: 598:Ozone therapy 596: 594: 591: 589: 586: 584: 581: 579: 576: 574: 571: 569: 566: 564: 561: 559: 556: 554: 551: 549: 546: 544: 541: 539: 536: 534: 531: 529: 526: 524: 521: 519: 516: 514: 513:Lymphotherapy 511: 509: 506: 504: 501: 499: 496: 494: 491: 489: 486: 484: 481: 477: 474: 473: 472: 469: 467: 464: 462: 459: 457: 454: 452: 451:Hair analysis 449: 447: 444: 442: 439: 437: 436:FasciaBlaster 434: 432: 429: 427: 424: 422: 419: 415: 412: 410: 407: 405: 402: 400: 399:Correactology 397: 396: 395: 392: 390: 387: 385: 382: 378: 375: 374: 373: 370: 368: 365: 363: 360: 358: 355: 353: 350: 348: 345: 343: 342:Colorpuncture 340: 336: 333: 332: 331: 328: 326: 323: 321: 320:Chromotherapy 318: 316: 313: 309: 306: 304: 301: 300: 299: 296: 294: 291: 289: 286: 284: 281: 279: 276: 274: 271: 269: 266: 264: 261: 259: 256: 254: 251: 249: 246: 244: 241: 239: 236: 234: 231: 229: 226: 224: 221: 219: 216: 214: 211: 209: 208:Alkaline diet 206: 204: 201: 199: 196: 195: 189: 188: 181: 178: 174: 171: 170: 169: 166: 164: 161: 159: 158:Pseudoscience 156: 154: 151: 148: 145: 143: 140: 136: 133: 131: 128: 127: 126: 123: 122: 116: 115: 111: 107: 106: 103: 100: 99: 95: 91: 90: 82: 80: 76: 72: 70: 66: 63: 60: 58: 54: 51: 47: 42: 37: 33: 19: 4319:Health fraud 4314:Lyme disease 4284: 4255:. Retrieved 4251: 4241: 4230:. Retrieved 4226: 4223:"Ticked Off" 4216: 4206: 4198: 4173: 4169: 4163: 4128: 4124: 4114: 4103:. Retrieved 4099:the original 4092: 4082: 4070:. Retrieved 4066:the original 4061: 4052: 4042:24 September 4040:. Retrieved 4017:24 September 4015:. Retrieved 4007: 3997: 3985:. Retrieved 3973: 3961:. Retrieved 3959:. 2015-06-29 3949: 3940: 3928:. Retrieved 3922: 3912: 3900:. Retrieved 3894: 3866:. Retrieved 3862:the original 3857: 3848: 3837:. Retrieved 3835:. 2009-06-18 3832: 3823: 3808: 3800:the original 3789: 3764: 3760: 3754: 3743:. Retrieved 3739:the original 3725: 3698: 3694: 3684: 3673:. Retrieved 3669:the original 3664: 3640:. Retrieved 3634: 3596: 3592: 3586: 3578: 3572: 3531: 3527: 3487: 3483: 3461: 3434:. Retrieved 3429: 3379: 3375: 3351:The Atlantic 3350: 3316: 3310: 3298:. Retrieved 3293: 3284: 3275: 3223: 3219: 3169: 3165: 3146: 3140:. Retrieved 3136: 3114: 3064: 3060: 3010: 3006: 2996: 2963: 2959: 2952: 2919: 2915: 2909: 2882: 2878: 2868: 2859: 2849: 2825:(1): 67–70. 2822: 2818: 2808: 2773: 2769: 2717: 2713: 2703: 2684: 2678: 2643: 2639: 2629: 2594: 2590: 2580: 2543: 2539: 2529: 2518:. Retrieved 2504: 2469: 2465: 2455: 2443:. Retrieved 2439:the original 2425: 2405: 2398: 2371: 2367: 2357: 2345:. Retrieved 2335: 2326: 2304: 2294: 2275: 2269: 2258: 2248: 2237:. Retrieved 2183: 2179: 2129: 2125: 2101: 2088: 2053: 2049: 2039: 2028: 1970: 1966: 1933: 1882: 1877: 1827: 1823: 1813: 1805: 1769: 1765: 1725: 1719: 1665: 1661: 1621: 1613: 1607: 1605: 1600: 1592: 1587: 1585: 1567:Allen Steere 1560: 1558: 1549: 1545: 1536: 1525: 1519: 1517: 1506:, opened an 1497: 1494:IDSA lawsuit 1485: 1478: 1468:(IDSA), the 1457: 1454: 1445: 1437: 1433:The Atlantic 1432: 1426: 1406: 1386: 1377:C. difficile 1365: 1360:Harriet Hall 1357: 1352: 1339: 1325: 1311: 1305: 1294: 1288: 1284: 1277:fibromyalgia 1273: 1269:health fraud 1264: 1248: 1247: 1238:health fraud 1229: 1219:A number of 1218: 1210:fibromyalgia 1207: 1200: 1193:Lyme disease 1180: 1176: 1175: 1100: 1053:Thai massage 1023:Naftalan oil 896:Blood stasis 775:Turbo cancer 663:ThetaHealing 588:Osteomyology 488:Hypnotherapy 483:Hydrotherapy 389:Ear candling 384:Dry needling 335:Coffee enema 298:Chiropractic 263:Bone-setting 243:Bates method 228:Aromatherapy 4257:19 December 3987:14 December 2922:: 158–161. 2766:"Lyme wars" 2597:(1): 1–15. 1347:called the 1013:Mien Shiang 931:Moxibustion 643:Reflexology 568:Oil pulling 563:Naturopathy 503:Jilly Juice 283:Camel urine 253:Black salve 203:Acupuncture 198:Acupressure 163:Antiscience 135:Terminology 4298:Categories 4232:2017-06-28 4105:2008-06-25 3868:2009-07-05 3839:2019-12-05 3745:2017-05-19 3675:2008-06-24 3642:2008-06-24 3631:"Lyme Inc" 3142:2019-07-30 2520:2010-12-09 2239:2019-12-05 2052:(Review). 2030:Quackwatch 1640:References 1429:Morgellons 1422:Mycoplasma 1418:Bartonella 1334:, and the 1225:antibiotic 1111:Heavy legs 1068:Vietnamese 1048:Sri Lankan 608:Phrenology 593:Osteopathy 583:Orthopathy 471:Homeopathy 377:Foot detox 273:Breathwork 218:Apitherapy 173:Scientific 168:Skepticism 4072:29 August 3963:29 August 3930:29 August 3404:243939325 3029:2168-6106 2944:195478826 2180:Neurology 1987:1769-6690 1802:239461094 1786:1080-0549 1559:In 2001, 1508:antitrust 1498:In 2006, 1414:Anaplasma 1290:Ehrlichia 1253:arthritis 1033:Shamanism 1018:Mongolian 993:Kayakalpa 968:Curandero 886:Cambodian 876:Brazilian 673:Urophagia 633:Radionics 538:Mesmerism 498:Iridology 4286:Skeptoid 4190:15626946 4147:16452949 4008:wbur.org 3781:19211474 3717:18821849 3613:28742918 3556:36510820 3548:18989271 3528:Nat. Med 3506:33417672 3396:34755952 3250:24929022 3194:23511758 3186:29706237 3093:28617768 3037:25365479 2988:58654505 2980:30660803 2936:31302591 2901:33098950 2841:30287411 2800:17974685 2744:18452806 2670:19597005 2621:19076824 2572:17044928 2496:25077519 2445:June 18, 2390:16040645 2202:17522387 2148:17029130 2080:25999227 2003:73420955 1995:30765287 1901:19342721 1854:36141950 1846:20631327 1794:34687445 1742:17914043 1684:23303970 1628:See also 1383:Identity 1340:Borrelia 1285:Borrelia 1202:Borrelia 1003:Japanese 946:San Jiao 926:Meridian 854:Ayurveda 693:Vitalism 258:Bodywork 147:Quackery 94:a series 79:Legality 4155:4315588 3902:28 July 3276:The Cut 3241:4252587 3137:The Cut 3084:5657841 2791:2048873 2735:2430045 2661:2708393 2612:2665673 2563:1626453 2487:4196523 2347:July 5, 2156:4824991 2071:4477530 1909:2091976 1675:3540629 1410:Babesia 1296:Babesia 1265:chronic 1259:and/or 1058:Tibetan 1038:Shiatsu 983:Iranian 963:Chumash 956:Zang-fu 921:Long gu 911:Gua sha 891:Chinese 837:African 653:Rolfing 130:History 4188:  4153:  4145:  4125:Nature 4062:ct.gov 3779:  3715:  3636:Forbes 3611:  3554:  3546:  3504:  3436:6 June 3402:  3394:  3323:  3300:6 June 3248:  3238:  3192:  3184:  3091:  3081:  3035:  3027:  2986:  2978:  2942:  2934:  2899:  2839:  2798:  2788:  2742:  2732:  2691:  2668:  2658:  2619:  2609:  2570:  2560:  2546:: 12. 2494:  2484:  2413:  2388:  2282:  2210:959269 2208:  2200:  2154:  2146:  2102:Forbes 2078:  2068:  2001:  1993:  1985:  1907:  1899:  1852:  1844:  1800:  1792:  1784:  1740:  1682:  1672:  1521:Forbes 1502:, the 1330:, the 1308:review 1126:PANDAS 1043:Siddha 1008:Korean 951:Tui na 906:Dit da 573:Orgone 62:Nocebo 4151:S2CID 3982:(PDF) 3552:S2CID 3400:S2CID 3382:(8). 3372:(PDF) 3190:S2CID 2984:S2CID 2940:S2CID 2206:S2CID 2152:S2CID 1999:S2CID 1963:(PDF) 1905:S2CID 1850:S2CID 1798:S2CID 1582:Media 1063:Unani 998:Kambo 978:Hilot 859:Dosha 409:Reiki 57:Risks 4259:2017 4186:PMID 4143:PMID 4074:2015 4044:2016 4019:2016 4012:WBUR 3989:2021 3965:2015 3950:The 3932:2015 3904:2019 3777:PMID 3761:JAMA 3713:PMID 3609:PMID 3593:JAMA 3544:PMID 3502:PMID 3438:2023 3392:PMID 3321:ISBN 3302:2023 3246:PMID 3182:PMID 3089:PMID 3033:PMID 3025:ISSN 2976:PMID 2932:PMID 2897:PMID 2837:PMID 2796:PMID 2740:PMID 2689:ISBN 2666:PMID 2617:PMID 2568:PMID 2492:PMID 2447:2013 2411:ISBN 2386:PMID 2349:2013 2280:ISBN 2198:PMID 2144:PMID 2076:PMID 1991:PMID 1983:ISSN 1897:PMID 1842:PMID 1790:PMID 1782:ISSN 1738:PMID 1721:NEJM 1680:PMID 1318:and 1293:and 988:Jamu 864:MVAH 842:Muti 648:RBOP 558:NAET 4178:doi 4133:doi 4129:439 3769:doi 3765:301 3703:doi 3601:doi 3597:318 3536:doi 3492:doi 3384:doi 3236:PMC 3228:doi 3224:127 3174:doi 3079:PMC 3069:doi 3015:doi 3011:175 2968:doi 2924:doi 2887:doi 2827:doi 2786:PMC 2778:doi 2774:335 2770:BMJ 2730:PMC 2722:doi 2656:PMC 2648:doi 2607:PMC 2599:doi 2595:155 2558:PMC 2548:doi 2482:PMC 2474:doi 2376:doi 2188:doi 2134:doi 2066:PMC 2058:doi 1975:doi 1887:doi 1832:doi 1774:doi 1730:doi 1726:357 1670:PMC 1666:123 1420:or 1412:or 1279:or 1212:or 1181:CLD 548:MMS 34:or 4300:: 4283:. 4250:. 4225:. 4205:. 4184:. 4174:23 4172:. 4149:. 4141:. 4127:. 4123:. 4091:. 4060:. 4027:^ 4006:. 3954:/ 3948:. 3921:. 3893:. 3877:^ 3856:. 3831:. 3775:. 3763:. 3711:. 3699:47 3697:. 3693:. 3663:. 3651:^ 3633:. 3621:^ 3607:. 3595:. 3577:, 3564:^ 3550:. 3542:. 3532:14 3530:. 3514:^ 3500:. 3488:72 3486:. 3482:. 3470:^ 3460:. 3446:^ 3428:. 3412:^ 3398:. 3390:. 3380:27 3378:. 3374:. 3359:^ 3349:. 3335:^ 3292:. 3274:. 3258:^ 3244:. 3234:. 3222:. 3218:. 3202:^ 3188:. 3180:. 3170:39 3155:^ 3145:. 3135:. 3123:^ 3113:. 3101:^ 3087:. 3077:. 3065:66 3063:. 3059:. 3045:^ 3031:. 3023:. 3009:. 3005:. 2982:. 2974:. 2964:86 2962:. 2938:. 2930:. 2920:34 2918:. 2895:. 2883:51 2881:. 2877:. 2858:. 2835:. 2823:25 2821:. 2817:. 2794:. 2784:. 2772:. 2768:. 2752:^ 2738:. 2728:. 2718:22 2716:. 2712:. 2664:. 2654:. 2644:22 2642:. 2638:. 2615:. 2605:. 2593:. 2589:. 2566:. 2556:. 2542:. 2538:. 2513:. 2490:. 2480:. 2470:12 2468:. 2464:. 2433:. 2384:. 2372:34 2370:. 2366:. 2325:. 2313:^ 2303:. 2257:. 2231:. 2218:^ 2204:. 2196:. 2184:69 2182:. 2178:. 2164:^ 2150:. 2142:. 2130:43 2128:. 2124:. 2110:^ 2100:. 2074:. 2064:. 2054:29 2048:. 2027:. 2011:^ 1997:. 1989:. 1981:. 1971:49 1969:. 1965:. 1944:^ 1932:. 1917:^ 1903:. 1895:. 1883:36 1876:. 1862:^ 1848:. 1840:. 1828:24 1826:. 1822:. 1804:. 1796:. 1788:. 1780:. 1770:62 1768:. 1764:. 1750:^ 1736:. 1724:. 1692:^ 1678:. 1664:. 1660:. 1648:^ 1379:. 1306:A 1255:, 1240:. 941:Qi 96:on 4289:. 4261:. 4235:. 4192:. 4180:: 4157:. 4135:: 4108:. 4076:. 4046:. 4021:. 3991:. 3967:. 3934:. 3906:. 3871:. 3842:. 3783:. 3771:: 3748:. 3719:. 3705:: 3678:. 3645:. 3615:. 3603:: 3558:. 3538:: 3508:. 3494:: 3464:. 3440:. 3406:. 3386:: 3353:. 3329:. 3304:. 3278:. 3252:. 3230:: 3196:. 3176:: 3117:. 3095:. 3071:: 3039:. 3017:: 2990:. 2970:: 2946:. 2926:: 2903:. 2889:: 2862:. 2843:. 2829:: 2802:. 2780:: 2746:. 2724:: 2697:. 2672:. 2650:: 2623:. 2601:: 2574:. 2550:: 2544:3 2523:. 2498:. 2476:: 2449:. 2419:. 2392:. 2378:: 2351:. 2329:. 2307:. 2288:. 2263:. 2242:. 2212:. 2190:: 2158:. 2136:: 2104:. 2082:. 2060:: 2033:. 2005:. 1977:: 1938:. 1911:. 1889:: 1856:. 1834:: 1776:: 1744:. 1732:: 1686:. 1461:, 1179:( 1165:e 1158:t 1151:v 38:. 20:)

Index

Lyme disease controversy
Neuroborreliosis
Post-treatment Lyme disease syndrome
Pseudomedical diagnosis
Risks
Nocebo
Treatment risks
Legality
a series
Alternative medicine

Alternative medicine
History
Terminology
Alternative veterinary medicine
Quackery
Rise of modern medicine
Pseudoscience
Antiscience
Skepticism
Scientific
Therapeutic nihilism
Acupressure
Acupuncture
Alkaline diet
Anthroposophic medicine
Apitherapy
Applied kinesiology
Aromatherapy
Association for Research and Enlightenment

Text is available under the Creative Commons Attribution-ShareAlike License. Additional terms may apply.

↑