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"Wanting to please everyone," the High Authority health "does not satisfy anyone," says the Academy of Medicine in October had already denounced "excesses and deceptions concerning Lyme disease." 19659002] What is the attitude of having patients who are persuaded to have Lyme disease but not established at the medical level? This question already divided the badociations and the infectiologists.
It is now that it causes a pbad of arms between the High Authority of health (HAS) and the Academy of medicine. In a statement, released Monday, July 2, the Academy denounces the ambiguity of the HAS which, "trying to please everyone satisfies no one."
" 1% chance to develop the disease "
For a long time no one seemed to care about this infectious disease, transmitted by ticks. But in recent years, Lyme disease is receiving a lot of attention. To the point that some walkers on Sunday leave no access to the smallest square millimeter of their skin as soon as they put a foot in the forest.
This is the reason why the HAS wished to calm the spirits by diffusing, the June 20, recommendations for the management of this disease. " If you are stung by a tick, there is a 1% chance of developing this disease", then explained Dr. Cédric Grouchka, a member of the college of HAS.
Faced with ticks, do not panic
Painless red spot
In the vast majority of cases, the disease manifests itself as an erythema migrans, that is, a painless red spot that appears on the skin. the place of the bite under 3 to 30 days and grows gradually. In this case, the diagnosis is not a problem and the condition is usually treated very well.
But in 5% of cases, the disease manifests itself more diffuse and later, several weeks or months after sting. The diagnosis may then be more difficult to make, because blood tests do not always provide a definitive answer.
A diagnostic wandering
The current controversy concerns mostly patients who, in general after a walk in the wild and a tick bite, have various symptoms: pain, persistent fatigue, poor concentration and attention. In some cases, these disorders can be very disabling and these patients do not live well because their problems are not found.
They then engage in a sort of diagnostic wandering and sometimes end up to be persuaded to have a chronic form of Lyme disease. They are supported in their fight by some badociations often quite offensive and doctors, a little on the sidelines of their colleagues, who deliver antibiotics in high doses.
Citique, a new application to fight against ticks
A SPPT
It is in this context that the opinion of the HAS convinced that these people should not be considered as imaginary patients. But as suffering individuals that must be listened to and taken care of.
Prudente, the HAS does not however wish to recognize a chronic form of Lyme, as requested by the badociations. Instead, she pulled the SPPT out of her hat. An acronym that refers to a " symptomatology / persistent polymorphic syndrome after a possible tick bite."
Fear of Infectious Diseases
This new conditional syndrome first made society scream scientist of infectiology (Spilf), a partner of the HAS working group "This ill-defined set of symptoms does not exist in the international medical literature and could lead to over-diagnosis that could lead patients to inadequate care" says this learned society. The fear of infectiologists is that through this SPPT, we finally recognize the existence of a chronic Lyme.
Better cope with Lyme disease
The charge of the Academy
A concern shared by the Academy of Medicine which today expresses "its deep disappointment" . In October 2017, the institution warned the public authorities against "drifts and deception" and the "19459006" "temptation to give in to the blackmail of pressure groups by departing from the data of science
Today, it attacks the HAS which, "wanting to please everyone, does not satisfy anyone" . And "maintains the ambiguity" with this concept of SPPT. "The HAS recognizes in fact implicitly the existence of such a pathology without the slightest proof with, as a result, proposals for heavy management involving numerous, expensive and often unnecessary investigations" estimates Academy
Pierre Bienvault
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