As discussed in your Editorial, Eugene Shapiro's primary objection to our Lyme disease study appears to be in connection with the finding that only 22% of the cases had a record of the rash, erythema migrans, whereas he says up to 90% of Lyme disease cases have the rash.^,  If most cases had the rash, then laboratory testing would often not be necessary because patients presenting with the rash can be diagnosed and treated without the need for blood tests.

中文翻译：

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在英国仔细检查莱姆病。

正如您在社论中所讨论的那样，尤金·夏皮罗（Eugene Shapiro）对莱姆病研究的主要异议似乎与以下发现有关：只有22％的病例有皮疹，红斑红斑的记录，而他说高达90％的莱姆病病例有皮疹。^， 如果大多数情况下有皮疹，那么通常就不需要实验室检查，因为可以直接诊断和治疗出现皮疹的患者而无需进行血液检查。