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HomeAnswersRheumatologyfibromyalgiaCan Lyme disease remain asymptomatic for about 20 years?

Is curling of fingers at joints with fibromyalgia a sign of Lyme disease?

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At August 20, 2020
Reviewed AtJuly 20, 2023

Patient's Query

Hello doctor,

Can you have Lyme disease for 20 years and not know until now? I am diagnosed with fibromyalgia in 2001. The same year, I went camping and came home with a tick. Tick was found and removed by a physical therapist. I feel all symptoms of Lyme disease. My fingers are curling at the first joint, a sign of extreme arthritis along with muscle pain that I have had for 20 years. I tried OTC medicine for fibromyalgia Lyrica. My depression is increased and I am more confused. There is a special test C6-peptide to confirm. Should I ask my GP to have the test done?


Welcome to icliniq.com.

Lyme disease is generally divided into three phases: early localized, early disseminated, and late phase. Late Lyme disease occurs months to a few years after the onset of infection and may not be preceded by a history of early localized or disseminated Lyme disease. Arthritis, myalgia, and neurological features are usually seen in the late phase. Serologic testing has traditionally been performed using an initial enzyme-linked immunosorbent immunoassay (ELISA) or immunofluorescence assay, followed by a Western blot. VlsE C6 ELISAs may be a more appropriate test for detecting all species of Borrelia burgdorferi. I think you can discuss your GP or visit a rheumatologist for further discussion and also to have an opinion related to your past exposure to ticks. I hope this helps.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Rajiv Ranjan Kumar
Dr. Rajiv Ranjan Kumar


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