[Differential diagnostic problems in Lyme disease (Borrelia infection resulting in acute exogenous psychosis)].

Case of a 31 years old woman suffering from I and II type atrioventricular heart block, acute exogenic psychosis, intermittent type of fever and arthritis of right knee was described by the authors. The non typical clinical picture, the extremely elevated erythrocyte sedimentation rate and the exogenic type of psychosis caused differential diagnostic difficulties. Besides polysymptomatic autoimmune disorder, Lyme disease as emerged although there were no data of vector bite.

[Polyglandular autoimmune syndrome type II].

The authors deal with the case of young woman in whom in a 4-year period step by step different endocrine disorders developed after a virus infection. Finally a severe immunthrombocytopenia evolved. On the basis of these the rare polyglandular autoimmune syndrome type II.

Treatment of polyglandular autoimmune syndrome with cyclosporin-A.

The case history of a 30-year-old female patient is reported. Following an unknown viral infection that had occurred four years earlier, insulin-dependent diabetes mellitus vitiligo, Addison's disease, amenorrhoea, hyperthyreosis and, finally, severe pancytopenia with dominant thrombocytopenia developed. On the basis of clinical aspects and laboratory findings, an infrequent polyglandular autoimmune syndrome (type II) was verified.