To the Editor: I was disheartened to read that Dr Seltzer and colleagues1 found the consequences of LD to be trivial. In reality, the disability resulting from disseminated LD is often extreme.2,3 It is possible that some patients interviewed by the authors were in the latent, asymptomatic stage of LD. Perhaps many who were excluded from the study were too sick to participate or had died from tick-borne diseases. The nondescribed cases were the ones that the researchers should have pursued.
Sherr VT. Long-term Outcomes of Lyme Disease. JAMA. 2000;283(23):3068-3069. doi:10.1001/jama.283.23.3068a