The 12 year old female with massive joint effusions of both knees had samples sent to Labcorp shows the following results:
White blood cells: 10,000- Normal less than 400.
Western Blot Bands: IgG 10/10 reactive- IgM bands 2/3 reactive
This test is still reported as investigational- It has no validity in the eyes of the "authorities" listed in the title.
The rigid IDSA guidelines exclude the use of this data in making the diagnosis.
Physicians who diagnose Lyme arthritis based on these findings run the risk of censure by state medical boards.
I think its time for a change in the rules.
Physicians should be allowed to practice their art to the best of their ability.
If physicians are required to practice medicine according to inflexible- cookbook formulas, the future is bleak. If organized medicine demands mediocrity- they should be careful what they wish for.