Proposed Criteria for Post-Treatment Lyme Disease Syndrome (PTLDS) Similar to ME/CFS/FM Criteria

Notice the similarities to chronic fatigue syndrome

  1. Cort
    Resource Type:
    Report or Study
    Notice the similarities to some ME/CFS and FM definitions. In fact, the similarities are so close that one of the exclusionary factors is a prior diagnosis of chronic fatigue syndrome or fibromyalgia.

    The major difference is the need for a documented Lyme infection. Otherwise what is needed is increased fatigue, widespread pain (FM) and cognitive issues. PEM is not included but they may not be savvy to that symptom yet (it took several decades in ME/CFS) or it may not be that present.

    Plus a score on the SF-36, which is reminiscent of the Empirical Definitions attempt to use questionnaires to assess symptoms.

    This definition doesn't capture all the post-Lyme disease patients with problems by the way. A considerable number of people with lingering symptoms do not meet it.

    Int J Infect Dis. 2013 Jun;17(6):e443-9. doi: 10.1016/j.ijid.2013.01.008. Epub 2013 Feb 23. Development of a foundation for a case definition of post-treatment Lyme disease syndrome.Aucott JN1, Crowder LA, Kortte KB.