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Paper Chase #2: Lyme Screening & Bell’s Palsy in Endemic Regions

Nate Finnerty, MD and Brett Ebeling, MD
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The prevalence of Lyme disease in patients presenting with Bell's palsy was high enough to warrant screening in those that live in, or have traveled to, endemic areas.

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Sandi B. -

I live in Johnson County, Iowa and although not endemic, we have a high incidence of Lyme disease. Colleagues in my urgent care have caught cases of Lyme-associated Bell's palsy. I would suggest keeping states in the northern central US (Wisconsin, Minnesota, etc) in mind when thinking of "high risk" areas for Lyme and not just New England and mid-Atlantic states. https://www.cdc.gov/lyme/stats/maps.html

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Urgent Care Rap February 2021 Written Summary 474 KB - PDF

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