1989: Duray publishes in IDSA's journal that chronic Lyme is like syphilis and may be permanent.

 

In this report, Duray states:

“Nervous system involvement. Biopsy of the sural nerve in patients withe peripheral neuropathy associated with chronic Lyme disease has demonstrated the presence of lymphocytes and plasma cells in the nerve itself as well as in the perineurial region (figure 10). This is not dissimilar to the pattern of infiltrates seen in stage II. What differentiates this complication from stage II involvement, however, is its apparent permanence.”

“Further complicating the staging of this infection is the fact that serologic tests often do not show any correlation between titer and extent of damage to organ systems.”

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