Het was een rood/blauw achtige plek op de zijkant van mijn linker voet.
Deze trok later weer weg.
De vlgd. ochtend zat ie er weer.
En trok in de middag weer weg.
Nu zei ik tegen mijn lyme arts dat ik steeds een ACA ontwikkel die dan veel later op de dag weer wegtrekt.
Hij zei me dat zoiets geen ACA is, want zo vertelde hij me: "een ACA is een blijvende verkleuring van de huid."
Dat heb ik nooit geweten, en ben eens gaan zoeken en vond dit:
https://books.google.nl/books?id=v78qwF ... ar&f=false
Uit boek: Lyme borreliose, Biological and Clinical Aspects
Editors
D. Lipsker (Strasbourg)
B. Jaulhac (Strasbourg)
Clinical Characteristics
Door: Franc Strle en Gerold Stanek ( Ljubijana, Slovenia en Vienna, Austria)
ACA is a chronic borrelial skin manifestation that in contrast to EM and borrelial
lymphocytoma does not disappear spontaneously [16,17]. It is most often located on
acral parts if the body, usually on the extensor part of hands or feet.
Initially, the lesion is usually unilateral, later on it may become more or less symmetrical.
The initial changes usually manifest themselves several months or years after the introduction
of borrelia into the body.
Some patients remember having had other signs of Lyme borrelioses-such as EM.
neurologic involvement, heart involvement or arthritis before the onset or diagnoses
of ACA- but most patients do not.
Asbrink et al. [95] reported that in9 out of 50 patients (18%) spontaneous healing of EM was followed at
the same location by ACA lesion after a latency period of 6 months to 8 years.
Thus, ACA can be the first and the only clinical sign of lyme borrelioses [17,95,56].
......
The involved region is usually edematous, swelling may occasionally dominate the clinical picture.
....A common typical sign is that one of the feet (sometimes both) gradually increases in size, and the need
for larger shoe arises [96].
After the initial months to years, the edema slowly vanishes
and gradually atrophy becomes more and more prominent.
The skin becomes increasingly violaceous, thin and wrinkled, with prominently visible underlying vessels.
When exposed to a cold enviromment, the skin becomes pronouncedly bluish.
