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June 1993

Erythema Chronicum Migrans in Suzhou, China

Author Affiliations

Department of Dermatology Suzhou No. 2 Hospital 26 Daoqian St Suzhou 215002, China

Arch Dermatol. 1993;129(6):793-794. doi:10.1001/archderm.1993.01680270137029

To the Editor.—  I had reported 53 cases of erythema chronicum migrans (ECM) in 19871 and 16 cases in 19902 in Suzhou, China. The character of the lesions and the peak incidence season were similar to the ECM of Lyme disease. As to further knowlege of the etiology and the relationship between the ECM in Suzhou and the Lyme disease reported abroad,3,4 we carried out tests for serum anti—Borrelia burgdorferi antibody in 31 patients with ECM from 1988 through 1990.

Subjects and Methods.—  Eight men and 23 women with ECM were studied. From July through October 1988, four men and 12 women were studied; from July through October 1990, four men and 11 women were studied. Their ages ranged from 20 to 52 years (mean, 35.2 years). They had been living in Suzhou. All 31 cases manifested multiple lesions. The distribution was mainly on the upper

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