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In clinical practice, several conditions may contribute to new or worsening breathlessness, including: Autonomic dysfunction such as POTS Babesia co-infection Lyme carditis Immune-mediated respiratory inflammation Asking the Right Questions When evaluating Lyme-related dyspnea, several questions become important: Does the breathlessness occur at rest, with exertion, or while lying down

10.1503/cmaj.060955 192 TolisG.AckmanD.StellosA.MehtaA.LabrieF.FazekasA.et al (1982)

Ice pick scars may show modest softening but remain challenging

Chung, L

There is bone marrow erythroid hyperplasia with changed M: E (normal = 2:1 to 12:1), which is decreased to 1:1, or there is a reversal