Does a Urine Test Diagnose Lyme Disease?

Last Editorial Review: 1/11/2018

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Is the urine test for Lyme disease of value?

Doctor's response

No. There is a commercially available "test" for Lyme disease that is marketed for detection of the bacteria. It was discussed at the 1999 national meeting of the American College of Rheumatology. It is felt to be useless and plays no role in the evaluation of anyone suspected of having Lyme disease. Lyme disease is diagnosed based on the recognition of characteristic clinical picture of illness and confirmed by specific blood testing. Usually initial blood screen is by the Elisa method of testing and further confirmation is by the Western Blot technique.

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