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What is the difference in symptoms between early stage Lyme induced Subacute/acute parkinsonism and idiopathic Parkinson's disease?

How does a doctor arrive at a diagnosis of lyme induced parkinsonism?

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I have never seen a case of Lyme induced parkinsonism.  The textbooks say Lyme can mimic anything, however levodopa responsive chronic progressive PD would likely look and behave differently over time.

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