Re: More on Klempner's deceptiveness
- From: "a_weisman@xxxxxxxxx" <a_weisman@xxxxxxxxx>
- Date: 10 Apr 2005 07:51:59 -0700
derdrittemann2003@xxxxxxxxx wrote:
> eugeneshapiroisapig wrote:
>
> > "I think you're confusing criteria here...while lyme is diagnosed
> > clinically, supposedly at least, the WB criteria are for
determining
> > positivity or negativity for any blood serology in lyme disease,
not
> > for research or surveillance purposes only".
> >
> There seems to be confusion over the word "diagnostic" when you talk
> about this...so, perhaps this explains better...
>
> If you have a Western Blot with 5 of the 10 IgG bands showing, then:
>
> 1. You are supposed to INCLUDE the person for CDC reporting. This
> person's case should be reported to the CDC.
>
> 2. The person would qualify for research purposes as having been
> exposed to Lyme disease...could be used as a subject in a clinical
> trial.
>
> 3. For the purposes of individual disgnosis...with a physician in
> consultation...the "positive" nature of the blot, alone,or even in
> conjunction with the positive ELISA should NOT be used to say the
> person has Lyme disease...the serology results being only one of
> several factors to be considered.
Well as a practical matter, most doctors WILL treat a patient with no
prior treatment and a positive WB (usually this actually means the
ELISA was positive and the WB was performed to "confirm" it).
.
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