Borrelia burgdorferi and Localized Scleroderma

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Abstract
To the Editor.— Aberer et al,1in Austria, have suggested that morphea might be related toBorrelia burgdorferiinfection. These authors found antibodies to Bburgdorferiin 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 toB burgdorferiin 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 withB burgdorferistrain B31, the antigen being prepared as described by Russell et al.3All patients had negative antibody titers (< 1:256). Results.— Our results are in agreement with those of Muhlemann et al4in the United Kingdom, Hansen et al5in Denmark, and Hoesly et al6in the United States. In West

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