How accurate is lyme disease western blot?

Lyme Disease: Lyme disease is known to inhibit the immune system and twenty to thirty percent of patients have falsely negative antibody tests. Lyme disease has always been a challenge to accurately diagnose in ALL patients with labs. It has to be correlated clinically as there are many false negatives and cases that slip through our fingers.

High disease area?: The Western Blot is the 2nd (after the ELISA) in a 2-step process. An individual in an area where Lyme disease is common & with high exposure to Lyme-disease carrying tick bite who has been bitten by an engorged tick is highly likely to have Lyme disease if these tests are positive. Without these risk factors, a positive test could be falsely positive.