Erythema Migrans

ERYTHEMA MIGRANS    (Please remember only about 50% of patients even get a rash & it’s not always a bullseye)

Atypical Erythema Migrans in Patients with PCR-Positive Lyme Disease
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3647494/
http://wwwnc.cdc.gov/eid/article/19/5/12-0796_article.htm

Erythema migrans lesion in Patients
http://www.ncbi.nlm.nih.gov/pmc/?term=erythema+migrans&report=imagesdocsum

(“Fewer than 50% of patients with Lyme disease recall any rash. Although the erythema migrans (EM) or “bull’s-eye” rash is considered classic, it is not the most common dermatologic manifestation of early-localized Lyme infection. Atypical forms of this rash are seen far more commonly. It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy.”) http://www.ilads.org/lyme_disease/about_lyme.html