Question: Can ALS Mimic Lyme Disease?

What is Lyme disease misdiagnosed as?

Patients with Lyme disease have been incorrectly diagnosed with: multiple sclerosis (MS), fibromyalgia, chronic fatigue syndrome, autoimmune diseases including lupus and rheumatoid arthritis [1-7], polymyalgia rheumatica, thyroid disease, and psychiatric disorders, among others..

How do you rule out Lyme disease?

AdvertisementEnzyme-linked immunosorbent assay (ELISA) test. The test used most often to detect Lyme disease, ELISA detects antibodies to B. burgdorferi. … Western blot test. If the ELISA test is positive, this test is usually done to confirm the diagnosis.

What does ALS feel like at first?

Early symptoms of ALS are usually characterized by muscle weakness, tightness (spasticity), cramping, or twitching (fasciculations). This stage is also associated with muscle loss or atrophy.

Does muscle twitching come and go with ALS?

People living with ALS often experience muscle twitching or fasciculations, as the signal from the nerves to the muscles become more disrupted.

Is there a mild form of ALS?

Most people with ALS die of respiratory failure within three to five years of the onset of symptoms, though about 10 percent of sufferers live for 10 or more years, according to the NIH. “There are a lot of cousins of ALS that can exist that are milder,” Bhatt said.

How do doctors rule out ALS?

ALS is primarily diagnosed based on detailed history of the symptoms and signs observed by a physician during physical examination along with a series of tests to rule out other mimicking diseases. However, the presence of upper and lower motor neuron symptoms strongly suggests the presence of the disease.

Do early ALS symptoms come and go?

ALS symptoms are progressive meaning the symptoms get worse over time and often develop very quickly. That said there are some cases in which symptoms, such as difficulty swallowing, can get better for a period of time.

Can Lyme disease be mistaken for ALS?

Called the “great imitator,” Lyme disease can present a variety of symptoms that mimic a wide range of illnesses, including chronic fatigue syndrome, fibromyalgia, ALS, Alzheimer’s disease, depression, insomnia, and autoimmune disorders such as RA and Multiple Sclerosis (MS).

What can be mistaken for ALS?

Diseases That Can Mimic ALSWhat Can Mimic ALS? … Multiple Sclerosis. … Parkinson’s Disease. … Benign Fasciculation Syndrome. … Spinobulbar Muscular Atrophy. … Inclusion Body Myositis. … Myasthenia Gravis.

Can thyroid disease mimic ALS?

A thyroid function test can help in a search for evidence of other conditions with shared symptoms and to rule out ALS, which is not associated with impaired thyroid function. A poorly working thyroid can cause myopathy, or muscle disease, leading to the muscular weakness and cramps also experienced by ALS patients.

Is ALS ever misdiagnosed?

Although the essential diagnostic criteria of ALS are defined by the El Escorial criteria, there are still many misdiagnoses. Our mistakes in ALS diagnosis mainly relate to diagnostic difficulty and also to lack of skill and knowledge about MNDs.

What was your first ALS symptom?

Typical early symptoms include tripping and falling; painless weakness in the legs, feet (also called foot drop), or ankles; hand weakness; slurred speech or trouble swallowing; muscle twitching or cramps in the arms, shoulders, or tongue; and difficulty holding the head up or maintaining good posture.