To the Editor.—
Aberer et al,1 in Austria, have suggested that morphea might be related to Borrelia burgdorferi infection. These authors found antibodies to B burgdorferi in five of ten patients with morphea in one study and eight of 15 patients in another study, which used the enzyme-linked immunosorbent assay.2
Patients and Methods.—
We tested for antibodies to B burgdorferi in 17 patients (15 women and two men; mean age, 38.8 years) with a history of four months to 13 years of localized scleroderma. Serologic evaluation was performed by immunofluorescence with B burgdorferi strain B31, the antigen being prepared as described by Russell et al.3 All patients had negative antibody titers (< 1:256).
Our results are in agreement with those of Muhlemann et al4 in the United Kingdom, Hansen et al5 in Denmark, and Hoesly et al6 in the United States. In West
Lecerf V, Bagot M, Revuz J, Touraine R, Dournon E. Borrelia burgdorferi and Localized Scleroderma. Arch Dermatol. 1989;125(2):297. doi:10.1001/archderm.1989.01670140149031