在此报道2例持续性莱姆关节炎患者。2例患者均有特定的病史。第1例患者有青少年特发性寡关节炎并处于缓解期,在传染性蜱叮咬5个月后在同一膝关节出现关节炎复发,考虑莱姆疏螺旋体病可能触发了该病的再激活,第2例患者的病史是典型的无反应型,在长时间抗生素治疗后可见到溶骨性病损,MRI图象提示侵蚀 Two cases of persistent Lyme arthritis were reported here. Both patients had a specific medical history. The first patient had idiopathic oligoarthritis of the adolescent and was in remission with arthritis recurrence in the same knee five months after the infectious tick bites. Considering that Lyme borreliosis may trigger reactivation of the disease, The second patient’s history was typical of a non-responsive type, with osteolytic lesions seen after prolonged antibiotic therapy and MRI images suggestive of erosion