Treatment of Lyme Disease in Acrodermatitis Chronica Atrophicans

Acrodermatitis chronica atrophicans (ACA) is a recognised clinical presentation of Lyme disease that requires a specific, guideline-supported treatment approach. The structured regimen for this scenario is available below.

Clinical Scenario

This protocol applies to patients with Lyme disease who present with acrodermatitis chronica atrophicans. The presence of ACA defines the specific management pathway addressed here.

Treatment Approach

Current evidence supports the use of oral antibiotic therapy in this setting. The complete regimen — including the choice of agent, duration, and full clinical algorithm — is available in the structured protocol below.

References

  • In patients with acrodermatitis chronica atrophicans, we suggest oral antibiotic therapy for 21–28 days over shorter durations (weak recommendation, low-quality evidence).
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