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Language, Logic, and Lyme Disease
Arch Dermatol. 1999;135:1398-1400.
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"When I use a word," Humpty Dumpty said, in rather a scornful tone, "it means just what I choose it to mean—neither more nor less."
Through the Looking-Glass—Lewis Carroll1
LEWIS CARROLL taught and wrote books on both logic and mathematics. He was aware of the enormous confusion that can result from the unintended meanings of words.1 In Carroll's time, there was a lively debate concerning the existential import of statements such as All A is B. In medicine, this statement is known as the pathognomonic premise. Today, there is a lively debate concerning an instance of this premise in which A is erythema migrans and B is Lyme disease.2-6
Adding solitary to erythema migrans helps focus the debate. The article on erythema migrans by Felz and colleagues7 in this issue of the ARCHIVES appropriately broadcasts solitary in its title. The majority of cases of solitary erythema migrans . . . [Full Text of this Article]
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