Lyme disease: controversy surrounding a letter from Ain's doctors

The controversy around Lyme does not end: the High Authority of Health (HAS) has "deplored" Friday a letter from the departmental council of the Order of Physicians of the AIN on the diagnosis of this disease, letter that had irritated associations.

"He deplored the initiative of the county council of the order of doctors in Ain," he said in a statement.

"His letter to all the doctors in the department adds confusion to the minds of professionals" and causes "a loss of luck" for patients, he added.

All part of the official recommendations published on June 20 by the HAS on Lyme disease, controversial between patient organizations and the medical profession.

Lyme borreliosis is an infectious disease caused by a bacterium and transmitted by a tick bite. The controversy concerns the existence or absence of chronic forms (ie, whose conventional treatments do not exceed) of this disease. The associations have been demanding the recognition of these chronic forms for several years.

In its recommendations, HAS recognized the existence of "persistent polymorphic symptomatology / syndrome after possible tick bite" (SPPT). This very broad name refers to the "situation of patients who may have been exposed to ticks and who have polymorphic, persistent and unexplained clinical signs that can be disabling".

These terms were criticized in July by the Academy of Medicine which saw de facto recognition of the chronic form of the disease "without any proof".

The National College of Teaching General Practitioners (CNGE) also denounced these recommendations by asking physicians not to take them into account.

In a letter dated September 20, the Council of the Ain Medical Association recalled the position of these two bodies.

The county council also warned against "an incorrect diagnosis of Lyme disease, favoring delays in diagnosis, particularly in the neuro-psychiatric field".

"There is no diploma (…) that allows the doctor to call a doctor specializing in Lyme disease", adds the letter, revealed this week by the association ChroniLyme.

This association rebelled against this letter accusing it of causing a "loss of fortune" for the sick.

Contacted by AFP On Friday after the release of HAS, the departmental board of the Order of Physicians of the Ain did not react in the late afternoon.

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