Racial Differences in the Diagnosis of Lyme Disease in Children

Author:

Hunt Kathryn M1,Michelson Kenneth A1ORCID,Balamuth Fran2,Thompson Amy D3,Levas Michael N4,Neville Desiree N5,Kharbanda Anupam B6,Chapman Laura7,Nigrovic Lise E1ORCID,

Affiliation:

1. Division of Emergency Medicine, Boston Children's Hospital , Boston, Massachusetts , USA

2. Division of Emergency Medicine, Children's Hospital of Philadelphia , Philadelphia, Pennsylvania , USA

3. Division of Emergency Medicine, Nemours Children's Hospital Delaware , Wilmington, Delaware , USA

4. Pediatric Emergency Medicine, Children's Hospital of Wisconsin , Milwaukee, Wisconsin , USA

5. Division of Emergency Medicine, Children's Hospital of Pittsburgh , Pittsburgh, Pennsylvania , USA

6. Department of Emergency Medicine, Children's Minnesota , Minneapolis, Minnesota , USA

7. Department of Emergency Medicine, Rhode Island Hospital , Providence, Rhode Island , USA

Abstract

Abstract Black children with Lyme disease compared with children of other races were less likely to have an erythema migrans lesion diagnosed (adjusted odds ratio, 0.34; 95% confidence interval, .14-.79) but more likely to have a swollen joint (adjusted odds ratio, 3.68; 95% confidence interval, 2.13-6.36) after adjustment for age and local Lyme incidence.

Funder

Global Lyme Alliance

Publisher

Oxford University Press (OUP)

Subject

Infectious Diseases,Microbiology (medical)

Reference15 articles.

1. Does this patient have erythema migrans?;Tibbles;JAMA,2007

2. Lyme disease in children in southeastern Connecticut. Pediatric Lyme Disease Study Group;Gerber;N Engl J Med,1996

3. Bull's-eye and nontarget skin lesions of lyme disease: an internet survey of identification of erythema migrans;Aucott;Dermatol Res Pract,2012

4. Lyme disease with erythema migrans and seventh nerve palsy in an African-American man;Dennison;Cureus,2019

5. Racial disparities in skin tone representation of dermatomyositis rashes: a systematic review;Babool;Rheumatology (Oxford,2022

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