Wikipedia talk:Osmosis/Lyme disease

Discussion

I'm not sure if this was the intent, but the text appears to focus on Lyme disease in the USA. Here are examples:

• The first sentence states that Lyme disease is caused by Borrelia burgdorferi. It is true that B. burgdorferi is the major cause of Lyme disease in the USA, but B. garinii and B. afzelii are additional agents of Lyme disease in Europe and Asia.
• The last sentence of the same paragraph explains that B. burgdorferi is vectored by the deer tick Ixodes scapularis, also known as the black-legged tick. This is true for Lyme disease in the northeastern and midwestern U.S., but other types of Ixodes ticks transmit Lyme Borrelia in western North America and Eurasia: the sheep tick (Ixodes ricinus), taiga tick (Ixodes persulcatus), and western black-legged tick (Ixodes pacificus).
• The clinical manifestations described in the text are U.S. centric. Borrelial lymphocytoma (rare) and acrodermatitis chronica atrophicans are observed in some European cases of Lyme disease.

I also think it's important to state that B. burgdorferi is transmitted within saliva as the ticks feed. Transmission takes about 36-48 hours because it takes that long for the spirochetes to migrate from the tick's midgut to the salivary glands. CatPath (talk) 17:59, 18 March 2016 (UTC)

All excellent points, with the caveat that I'm not sure rare manifestations are sufficiently notable for a brief video (style point - up to the authors). — soupvector (talk) 16:44, 19 March 2016 (UTC)

Thanks! We'll take these points into consideration but as soupvector pointed out the rarer conditions may not be able to make it into the video because it's a brief video. We'll do our best! OsmoseIt (talk) 16:13, 1 April 2016 (UTC)

"Rare" here appears to mean "not in US"! Johnbod (talk) 17:47, 26 March 2018 (UTC)

Johnbod are you suggesting that Borrelial lymphocytoma is common (btw, PMID 27334446 and other sources note that this is uncommon to rare even in the areas where it's been reported)? Also note that my comment was supportive of the other suggestions - I was only noting that the OP's third bullet was explicitly about uncommon/rare manifestations. — soupvector (talk) 21:22, 26 March 2018 (UTC)

That's not really how OsmoseIt's comment in particular reads. No, I'm not. CatPath said Borrelial lymphocytoma was rare, but what about B. garinii, B. afzelii and acrodermatitis chronica atrophicans? Did any actual changes result here? Johnbod (talk) 00:04, 27 March 2018 (UTC)

I agree with you - changes should have been made. — soupvector (talk) 00:38, 27 March 2018 (UTC)