Racial Differences in the Diagnosis of Lyme Disease in Children.

Black children with Lyme disease compared with children of other races were less likely to have an erythema migrans lesion diagnosed (adjusted odds ratio, 0.34; 95% confidence interval, .14-.79) but more likely to have a swollen joint (adjusted odds ratio, 3.68; 95% confidence interval, 2.13-6.36) after adjustment for age and local Lyme incidence.
Competing Interests: Potential conflicts of interest . F. B. reports several federal and foundation grants to study sepsis and other infectious emergencies in children unrelated to this work and grand rounds honorarium for lecture at academic institution. L. C. reports grants or contracts from Brown Physicians Inc., paid to institution. A. D. T. reports online chapter royalties paid to author from Up To Date; consulting fees paid to author for insurance denial reviews from IMEDECS; and payment or honoraria paid to author for editorial work from McGraw Hill. L. E. N. reports consulting fees for research study design paid to investigator from Adaptive Biosciences and Tarsus Pharmaceuticals; unpaid participation on Data Safety Monitoring Boards for SPOR Innovation in Pediatric Clinical Trials and Intravenous magnesium: Prompt use for asthma in children treated in the emergency department (1R34HL152047-01A1). All other authors report no potential conflicts. All authors have submitted the ICMJE Form for Disclosure of Potential Conflicts of Interest. Conflicts that the editors consider relevant to the content of the manuscript have been disclosed.
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