aloha, mr. porter
i have a dear friend with long-term, bad lyme disease...know of many folks with lyme...
one of the progressive steps of untreated/unresolved lyme and other tick borne diseases
is 'systemic arthritis' along with neurologic and nerve pain problems.
AS is a 'systemic arthritis'...also...origin subject to much debate/question/wonder/ and, perhapss some complex
inter-relation of things not known.
i live in connecicut, whence the town of lyme is located...so this is an issue of much debate and many opinions hereabouts...there are many folks seriously damaged and hurt by lyme all over ( amy tan has written of her story, for one)