{"id":19506,"date":"2026-02-27T18:42:24","date_gmt":"2026-02-27T17:42:24","guid":{"rendered":"https:\/\/francelyme.fr\/site\/ufaq\/83-comment-diagnostique-t-on-le-lyme-long\/"},"modified":"2026-02-28T22:38:49","modified_gmt":"2026-02-28T21:38:49","slug":"83-comment-diagnostique-t-on-le-lyme-long","status":"publish","type":"ufaq","link":"https:\/\/francelyme.fr\/site\/ufaq\/83-comment-diagnostique-t-on-le-lyme-long\/","title":{"rendered":"083. Comment diagnostique-t-on le Lyme long ?"},"content":{"rendered":"<div class=\"like-button\" style=\"float: right; clear: both; text-align: right; width = 100%;\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/83-comment-diagnostique-t-on-le-lyme-long\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\" ><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n<div id=\"fb-root\"><\/div>\n<style>.ewd-ufaq-faq-header-title a { font-family: Garamond !important; }<\/style><div  class=\"ewd-ufaq-faq-list ewd-ufaq-page-type-distinct ewd-ufaq-category-tabs-\" id='ewd-ufaq-faq-list'>\n\n\t<input type='hidden' name='show_on_load' value='' id='ewd-ufaq-show-on-load' \/>\n<input type='hidden' name='include_category' value='' id='ewd-ufaq-include-category' \/>\n<input type='hidden' name='exclude_category' value='' id='ewd-ufaq-exclude-category' \/>\n<input type='hidden' name='orderby' value='title' id='ewd-ufaq-orderby' \/>\n<input type='hidden' name='order' value='asc' id='ewd-ufaq-order' \/>\n<input type='hidden' name='post_count' value='-1' id='ewd-ufaq-post-count' \/>\n<input type='hidden' name='current_url' value='\/site\/wp-json\/wp\/v2\/ufaq\/19506' id='ewd-ufaq-current-url' \/>\n\t\n\t\n\t<div class='ewd-ufaq-faqs'>\n\n\t\t<div  class=\"ewd-ufaq-faq-div ewd-ufaq-faq-column-count-one ewd-ufaq-faq-responsive-columns- ewd-ufaq-faq-display-style-default ewd-ufaq-can-be-toggled\" id='ewd-ufaq-post-19506-u6Mnqzj2Kx' data-post_id='19506'>\n\n\t\t\n\t<div class='ewd-ufaq-faq-title ewd-ufaq-faq-toggle'>\n\t\n\t<a class='ewd-ufaq-post-margin'  href='#' role=\"button\">\n\n\t\t<div class='ewd-ufaq-post-margin-symbol ewd-ufaq-'>\n\t\t\t<span >A<\/span>\n\t\t<\/div>\n\n\t\t<div class='ewd-ufaq-faq-title-text'>\n\n\t\t\t<h4>\n\t\t\t\t083. Comment diagnostique-t-on le Lyme long ?\t\t\t<\/h4>\n\n\t\t<\/div>\n\n\t\t<div class='ewd-ufaq-clear'><\/div>\n\n\t<\/a>\n\t\n<\/div>\n\t\n\t<div class='ewd-ufaq-faq-body' >\n\n\t\t\n\t\t\t<div class='ewd-ufaq-post-margin ewd-ufaq-faq-post'>\n\t<div class=\"like-button\" style=\"float: right;clear: both;text-align: right\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/83-comment-diagnostique-t-on-le-lyme-long\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\"><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n<div id=\"fb-root\"><\/div>\n\n<p>C&rsquo;est une t\u00e2che extr\u00eamement complexe car il n&rsquo;existe aucun test permettant de le faire. Un Lyme long est diagnostiqu\u00e9 quand il est \u00e9tabli une certaine continuit\u00e9 de sympt\u00f4mes entre la phase aig\u00fce (juste apr\u00e8s la piq\u00fbre) et la phase de persistance des sympt\u00f4mes.<\/p>\n\n\n\n<p>Dans sa fiche pratique Syndrome post-borr\u00e9liose de Lyme trait\u00e9e ou PTLDS, la Haute Autorit\u00e9 de Sant\u00e9 (HAS) a d\u00e9fini le PTLDS (et donc le Lyme long) comme suit :<\/p>\n\n\n\n<p>\u00ab\u00a0Le groupe de travail propose de d\u00e9finir le PTLDS comme un ensemble de sympt\u00f4mes (grade AE) :<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>alt\u00e9rant le fonctionnement habituel et la qualit\u00e9 de vie des patients depuis plus de 6 mois<\/li>\n\n\n\n<li>survenus dans les suites imm\u00e9diates (dans la continuit\u00e9) d\u2019une borr\u00e9liose de Lyme prouv\u00e9e (cf. chapitre 3 : exposition aux tiques, signes cliniques \u00e9vocateurs et s\u00e9rologie positive sauf si EM), et trait\u00e9e par une antibioth\u00e9rapie adapt\u00e9e \u00e0 la forme clinique initiale selon les recommandations en vigueur (cf. chapitre 4) ;<\/li>\n\n\n\n<li>se caract\u00e9risant principalement par une asth\u00e9nie et\/ou des douleurs diffuses (polyarthralgies, polymyalgies, paresth\u00e9sies, etc.) et\/ou des troubles cognitifs (troubles de la m\u00e9moire et de la concentration) dont les manifestations et l\u2019intensit\u00e9 sont variables d\u2019un patient \u00e0 l\u2019autre ;<\/li>\n\n\n\n<li>non expliqu\u00e9s par une dysfonction de l\u2019organe ou du syst\u00e8me concern\u00e9 identifiable \u00e0 l\u2019examen physique ou sur des examens compl\u00e9mentaires ;<\/li>\n\n\n\n<li>n\u2019\u00e9tant pas li\u00e9s \u00e0 une s\u00e9quelle attendue de la manifestation clinique initiale ;<\/li>\n\n\n\n<li>non attribuables \u00e0 un diagnostic diff\u00e9rentiel relevant d\u2019une prise en charge sp\u00e9cifique ; ni \u00e0 une d\u00e9compensation de comorbidit\u00e9 pr\u00e9existante.\u00a0\u00bb<\/li>\n<\/ul>\n\n\n\n<p>Lien&nbsp;:&nbsp;<a href=\"https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2025-02\/fiche_pratique_-_ptlds.pdf\">https:\/\/www.has-sante.fr\/upload\/docs\/application\/pdf\/2025-02\/fiche_pratique_-_ptlds.pdf<\/a><\/p>\n\n\n\n<p><\/p>\n<div class=\"like-button\" style=\"float: right;clear: both;text-align: right\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/83-comment-diagnostique-t-on-le-lyme-long\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\"><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n<\/div>\n\t\t\n\t\t\t<div class='ewd-ufaq-author-date'>\n\n\tMis en ligne\n\t\n\tle\n<span class='ewd-ufaq-date'>\n\t27 f\u00e9vrier 2026<\/span>\n<\/div>\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t<div class='ewd-ufaq-ratings'>\n\t\n\t<div class='ewd-ufaq-ratings-label'>\n\t\tCette information vous a-t-elle \u00e9t\u00e9 utile ?\t<\/div>\n\t\n\t<div class='ewd-ufaq-rating-button ewd-ufaq-up-vote ewd-ufaq-ratings-default-image' data-faq_id='19506'>\n\t\t<img decoding=\"async\" src=\"https:\/\/francelyme.fr\/site\/wp-content\/plugins\/ultimate-faqs\/assets\/img\/Thumbs-up-icon.png\" alt=\"Thumbs Up Icon\">\t\t<span>2<\/span>\n\t<\/div>\n\t\n\t<div class='ewd-ufaq-rating-button ewd-ufaq-down-vote ewd-ufaq-ratings-default-image' data-faq_id='19506'>\n\t\t<img decoding=\"async\" src=\"https:\/\/francelyme.fr\/site\/wp-content\/plugins\/ultimate-faqs\/assets\/img\/Thumbs-down-icon.png\" alt=\"Thumbs Down Icon\">\t\t<span>0<\/span>\n\t<\/div>\n<\/div>\n\n<div class='ewd-ufaq-clear'><\/div>\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t\t\t\n\t\t\n\t<\/div>\n\n<\/div>\n\t<\/div>\n\n\t\n<\/div><div class=\"like-button\" style=\"float: right; clear: both; text-align: right; width = 100%;\">\n<!-- Facebook Like Button Vivacity Infotech BEGIN -->\n<div class=\"fb-like\" data-href=\"https:\/\/francelyme.fr\/site\/ufaq\/83-comment-diagnostique-t-on-le-lyme-long\/\" data-layout=\"box_count\" data-action=\"like\" data-show-faces=\"false\" data-size=\"large\" data-width=\"450\" data-share=\"1\" ><\/div><\/div>\n<!-- Facebook Like Button Vivacity Infotech END -->\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","template":"","ufaq-category":[339],"ufaq-tag":[],"class_list":["post-19506","ufaq","type-ufaq","status-publish","hentry","ufaq-category-lyme-long-ptlds"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.3 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>083. 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