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Stage 3: Late persistent disease (months to years following exposure): Late neurological complications (mainly peripheral neuropathy and encephalomyelitis) Chronic arthritis (rare in Europe) Acrodermatitis chronica atrophicans (chronic bluish-red skin lesions on extensor surfaces) Ocular manifestations (including uveitis and iritis) Ongoing symptoms post treatment Chronic symptoms post Lyme infection are rarely secondary to ongoing active infection and may take months to years to resolve
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