Evidence map›Paper›PMID 27914746›Full record

ReviewDiagnostic microbiology and infectious disease2017

A critical appraisal of the mild axonal peripheral neuropathy of late neurologic Lyme disease.

Gary P Wormser, Franc Strle, Eugene D Shapiro, Raymond J Dattwyler, Paul G Auwaerter

Abstract readReview
In one paragraph

Review in Diagnostic microbiology and infectious disease, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Review
  2. Lyme borreliosis.Nature reviews. Disease primers · 2026
    Review
  3. Review
  4. Review
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors.

Gary P WormserDivision of Infectious Diseases, New York Medical College, Valhalla, NY 10595, USA. Electronic address: gwormser@nymc.edu.
Franc StrleDepartment of Infectious Diseases, University Medical Center Ljubljana, Ljubljana, 1515, Slovenia.
Eugene D ShapiroDepartments of Pediatrics, of Epidemiology of Microbial Diseases, and of Investigative Medicine, Yale University, New Haven, CT 06520, USA.
Raymond J DattwylerDepartment of Microbiology and Immunology, New York Medical College, Valhalla, NY 10595, USA.
Paul G AuwaerterSherrilyn and Ken Fisher Center for Environmental Infectious Diseases, Johns Hopkins University School of Medicine, Baltimore, MD 21205, USA.

Funding

Yale University Clinical and Translational Science Award ProgramUL1TR000142 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$31.8M
Institutional Career Development CoreKL2TR001862 · NCATS · YALE UNIVERSITY · PI CANTLEY, LLOYD G, EDELMAN, E. JENNIFER · 2016 to 2025
$12.2M
Yale University Clinical and Translational Science Award ProgramKL2TR000140 · NCATS · YALE UNIVERSITY · PI SHERWIN, ROBERT S · 2012 to 2015
$2.9M
Development of a cytokine release assay for the diagnosis of Lyme diseaseR44AI102435 · NIAID · BIOPEPTIDES, INC. · PI ARNABOLDI, PAUL MICHAEL · 2016 to 2017
$1.2M
Peptide-based Multiplex Assay for Lyme disease SerodiagnosisR43AI122399 · NIAID · BIOPEPTIDES, INC. · PI ARNABOLDI, PAUL MICHAEL · 2016 to 2016
$176k
A Rapid Point-of-Care Assay for the Diagnosis of Lyme DiseaseR43AI120364 · NIAID · BIOPEPTIDES, INC. · PI ARNABOLDI, PAUL MICHAEL · 2016 to 2016
$152k
NCATS NIH HHS KL2 TR000140NCATS NIH HHS KL2 TR001862NCATS NIH HHS UL1 TR000142NCEZID CDC HHS R01 CK000152NIAID NIH HHS R43 AI120364NIAID NIH HHS R43 AI122399NIAID NIH HHS R44 AI102435
6 · The paper itself

Abstract

In older studies, a chronic distal symmetric sensory neuropathy was reported as a relatively common manifestation of late Lyme disease in the United States. However, the original papers describing this entity had notable inconsistencies and certain inexplicable findings, such as reports that this condition developed in patients despite prior antibiotic treatment known to be highly effective for other manifestations of Lyme disease. More recent literature suggests that this entity is seen rarely, if at all. A chronic distal symmetric sensory neuropathy as a manifestation of late Lyme disease in North America should be regarded as controversial and in need of rigorous validation studies before acceptance as a documented clinical entity.

Indexed as

AmericasHumansLyme NeuroborreliosisNorth AmericaPeripheral Nervous System DiseasesBorrelia burgdorferiLyme diseaseNeuroborreliosisNeuropathyPeripheral neuropathy

Identifiers

PMID27914746
PMCPMC5924701

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.