Conversation: The conversation between human and AI assistant.
[|Human|] Yes - my brother in law has been trying to get information on both lyme disease and bulbar palsy als. He has many unexplained issues which make him want to question whether his diagnosis of bulbar palsy could really be lyme disease and I have read that lyme could be mistaken for als. He only had one blood test for lyme and it was negative. He had a rash across his chest which has been unexplained but they haven t suggested getting another blood test?
[|AI|]  Hi, Welcome to Chat Doctor. Thanks for writing in. Lyme disease is caused by Cordelia. It starts with skin rash which wax and wane for long periods after many years it can cause neurological features. A serological test for Lyme disease can be helpful for diagnosis. A visit to dermatologist will allow confirmation of diagnosis and subsequent treatment. Hope this helps. Wishing you good health. Regards.  Chat Doctor.