Polymerase chain reaction of Borrelia burgdorferi flagellin gene in Shulman syndrome

Dermatology. 1996;192(2):136-9. doi: 10.1159/000246339.

Abstract

A 49-year-old man presented a progressive swelling and induration of the skin resulting in flexion contracture. He had a history of two tick bites at the age of 17 and 47 years. Serum anti-Borrelia-burgdorferi antibody was positive; isolation of B. burgdorferi from the skin lesion was unsuccessful. He had eosinophilia (white blood cells 8,300/microlitre, 33% eosinophils) and hypergammaglobulinemia. The diagnosis of Shulman syndrome (eosinophilic fasciitis) from clinical and histological findings was established. A part of the flagellin gene of B. burgdorferi was detected in a skin biopsy sample by using the polymerase chain reaction method. To the best of our knowledge, this is the first report of detection of B.-burgdorferi-specific DNA from a skin sample of Shulman syndrome.

Publication types

  • Case Reports
  • Review

MeSH terms

  • Anti-Inflammatory Agents / therapeutic use
  • Base Sequence
  • Biopsy
  • Blotting, Southern
  • Borrelia burgdorferi Group / genetics*
  • Borrelia burgdorferi Group / isolation & purification
  • DNA, Bacterial / analysis*
  • Eosinophilia
  • Fasciitis / drug therapy
  • Fasciitis / microbiology*
  • Fasciitis / pathology
  • Genes, Bacterial*
  • Humans
  • Lyme Disease / diagnosis*
  • Lyme Disease / drug therapy
  • Male
  • Middle Aged
  • Molecular Sequence Data
  • Polymerase Chain Reaction
  • Prednisolone / therapeutic use
  • Skin / microbiology
  • Skin / pathology

Substances

  • Anti-Inflammatory Agents
  • DNA, Bacterial
  • Prednisolone