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Erythema migrans or erythema chronicum migrans is an expanding rash often seen in the early stage of Lyme disease, and can also (but less commonly) be caused by southern tick-associated rash illness (STARI). [1] [2] It can appear anywhere from one day to one month after a tick bite.
Lyme disease, also known as Lyme borreliosis, is a tick-borne disease caused by species of Borrelia bacteria, transmitted by blood-feeding ticks in the genus Ixodes. [4] [9] [10] The most common sign of infection is an expanding red rash, known as erythema migrans (EM), which appears at the site of the tick bite about a week afterwards. [1]
Necrolytic migratory erythema (NME) is a red, blistering rash that spreads across the skin. It particularly affects the skin around the mouth and distal extremities; but may also be found on the lower abdomen, buttocks, perineum , and groin.
Diagnosis is based on a circular "bull's-eye" rash at the site of infection called erythema chronicum migrans, which is very similar to that seen in Lyme disease. However, the symptoms of STARI are mild, and resemble influenza, with fatigue, muscle pains, and headache. [1]
erythema migrans (EM) rash, also known as a bullseye rash. swollen lymph nodes may occur in the absence of rash. Later symptoms (days to months after tick bite) severe headaches and neck stiffness.
Erythema (Ancient Greek: ἐρύθημα, from Greek erythros 'red') is redness of the skin or mucous membranes, caused by hyperemia (increased blood flow) in superficial capillaries. [1] It occurs with any skin injury, infection, or inflammation .
Symptoms: Fever, arthritis, neuroborreliosis, erythema migrans, cranial nerve palsy, carditis, fatigue, and influenza-like illness [29] Treatment: Antibiotics – amoxicillin in pregnant adults and children, doxycycline in other adults [30]
Erythema migrans / Lyme disease: Expands over days or weeks to 5–70 cm (median 16 cm), circular or oval, red or bluish, may have an elevated or darker center, may have a central or ring-like clearing, may feel warm, not painful or itchy [4] [5] Armpit, groin, back of knee, on the trunk, under clothing straps, or in children's hair, ear, or ...