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Neurologic features can be the first manifestations of Lyme disease, and the classic findings of erythema migrans and arthritis may be absent. 神經(jīng)系的表現(xiàn)可能是萊姆病的唯一首發(fā)表現(xiàn)，而典型表征遊走性紅斑和關(guān)節(jié)炎可能是缺乏的。