# A complex case of chronic cutaneous Borrelia burgdorferi sensu stricto infection manifesting as morphea-like sclerosis in the United States

**Authors:** Marisa R. Diiorio, Guohong Huang, Payal C. Shah, Shaofeng Yan, Robert E. LeBlanc, Joel A. Lefferts, Lin A. Brown, Dorothea T. Barton

PMC · DOI: 10.1016/j.jdcr.2026.01.038 · JAAD Case Reports · 2026-02-02

## Full-text entities

- **Diseases:** dermal (MESH:D016136), peripheral neuropathy (MESH:D010523), ACA (MESH:D000169), arthropathy (MESH:D007592), infection (MESH:D007239), erythema migrans (MESH:D005929), Borrelia (MESH:D001899), reactive granulomatous dermatitis (MESH:D000085343), induration (MESH:D010411), autoimmune (MESH:D001327), autoimmune sclerosing disorder (MESH:D012598), Lyme borreliosis (MESH:D008193), atrophic (MESH:D020966), atrophy (MESH:D001284), Borrelial lymphocytoma (MESH:D019310), neuropathic symptoms (MESH:D001750), atrophic skin (MESH:D012871), pain (MESH:D010146), trauma (MESH:D014947), inflammatory (MESH:D007249)
- **Chemicals:** formalin (MESH:D005557), eosin (MESH:D004801), hematoxylin (MESH:D006416), H&E (MESH:D006371), doxycycline (MESH:D004318), paraffin (MESH:D010232)
- **Species:** Homo sapiens (human, species) [taxon 9606], Borreliella afzelii (Borrellia group VS461, species) [taxon 29518], Borreliella burgdorferi (Lyme disease spirochete, species) [taxon 139]

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## References

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Source: https://tomesphere.com/paper/PMC12954183