[Clinical course of Lyme borreliosis with respect to the initial disease manifestation in Białowieza residents].

The aim of the study was to evaluate relationship between initial manifestation of Lyme borreliosis and further course of the disease. Files and questionnaires regarding present and past course of the disease were evaluated in 138 residents of Białowieza village, suffering previously from Lyme borreliosis. Present arthralgia was the most frequently reported by persons who initially were diagnosed as suffering from Lyme arthritis. Ischialgia and brachialgia were the most prevalent in patients with previous neuroboreliosis. Psychiatric evaluation demonstrated significantly more frequent prevalence of sleep and cognitive disturbances in persons with previously diagnosed neuroboreliosis. Persons with initial joint manifestations of Lyme borreliosis more frequently report arthralgia in further follow-up. Primary manifestation of the disease as neuroboreliosis increase risk of subsequent disturbances of sleep and cognition.