Thermographic study of migrating erythema
Keywords:
Lyme borreliosis, erythematous form, remote thermography, temperature difference index, thermogram.Abstract
The results of the study of erythema migrans (cutaneous form of Lyme borreliosis) by remote thermography are presented in the research. The aim of the research was to investigate the temperature difference (ΔT) between the affected and healthy skin areas in the patients with erythematous form of Lyme borreliosis before and after etiotropic treatment, as well as depending on the dissemination process. 31 patients with erythema migrans were under medical supervision. The patients underwent outpatient and inpatient treatment at Ternopil Regional Clinical Dermatological and Venereological Dispensary and at the Department of Infectious Diseases of Ternopil City Clinical Emergency Hospital. There were 17 (54.84%) men and 14 (45.16%) women. Remote thermography was performed by means of the ULIRVISION T1-120 medical thermal imager. It was established that a temperature difference index (ΔT) decreased at the erythema migrans (EM) area, of a single as well as disseminated type, took place under the influence of antibiotics as part of the complex treatment of Lyme borreliosis. The longest duration of erythema was in the patients without local warming in the EM area (ΔT≤0.50 0С) before treatment (the 3rd group), compare to the patients with therapeutically significant temperature difference (ΔT>0.50 0С) before treatment (the 1st and 2nd groups), (p<0.05) (p<0.001). An inverse correlation between the duration of EM and the temperature difference index (ΔT) of the affected and healthy areas before etiotropic treatment (r=-0.48; p<0.007) and after it (r=- 0.59; p<0.001) was established.
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