Lyme disease: The Daily PANCE Blueprint

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Lyme disease: The Daily PANCE Blueprint

While erythema migrans is a common early sign of Lyme disease, which of the following neurologic manifestations is considered virtually pathognomonic for the condition?

A. Aseptic meningitis
B. Unilateral facial nerve palsy
C. Bilateral facial nerve palsy
D. Distal symmetric polyneuropathy
E. Radiculopathy

Answer and topic summary

The answer is C. Bilateral facial nerve palsy

While several neurologic complications can occur in Lyme disease (often weeks to months after the initial infection), bilateral facial nerve palsy (cranial nerve VII palsy) is extremely rare in other conditions and is considered virtually pathognomonic for Lyme disease when it occurs. Unilateral facial nerve palsy (Bell’s palsy) is much more common overall, but can also be caused by Lyme.

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Smarty PANCE Content Blueprint Review:

Covered under ⇒ PANCE Blueprint Infectious Disease ⇒ Spirochetal Disease ⇒ Lyme disease

Also covered as part of the Internal Medicine EOR and Family Medicine EOR topic list

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