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| © 2001-2009, DermAtlas | Image Name: | Erythema_chronicum_migrans_1_080819 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE / ERYTHEMA CHRONICUM MIGRANS | Category: | infections and infestations / bites and stings | ||
| Body Site: | thigh / total body / leg | Age: | 27 months | ||
| Contributor: | Dirk Thompson, MD | ||||
| Description: | disseminated discrete and confluent annular 1-3 cm red plaques | ||||
| Comments: | The parents found a tick behind the ear of this 27-month-old girl one week before she was evaluated in the office for a equivocal low grade fever and widely disseminated annular red plaques. The tick was tested with PCR and found to be negative for the DNA of Borelia burgdorfi. However, the following week serologic tests were positive for Lyme disease (both IgG and IgM). She was treated with oral amoxacillin, and the eruption cleared in 2 days. | ||||
| Related Images: | Erythema_chronicum_migrans_2_080819 | ||||
| © 2001-2009, DermAtlas | Image Name: | Erythema_chronicum_migrans_2_080819 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE / ERYTHEMA CHRONICUM MIGRANS | Category: | infections and infestations / bites and stings | ||
| Body Site: | arm / total body / leg | Age: | 27 months | ||
| Contributor: | Dirk Thompson, MD | ||||
| Description: | disseminated discrete and confluent annular 1-3 cm red plaques | ||||
| Comments: | The parents found a tick behind the ear of this 27-month-old girl one week before she was evaluated in the office for a equivocal low grade fever and widely disseminated annular red plaques. The tick was tested with PCR and found to be negative for the DNA of Borelia burgdorfi. However, the following week serologic tests were positive for Lyme disease (both IgG and IgM). She was treated with oral amoxacillin, and the eruption cleared in 2 days. | ||||
| Related Images: | Erythema_chronicum_migrans_1_080819 | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_1_080502 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE | Category: | infections and infestations / reactive erythema / annular eruption | ||
| Body Site: | back | Age: | 68 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | |||||
| Comments: | This 68-year-old woman developed an itchy papule on her back 3 days ago followed by an enlarging annular red plaque. She had no systemic symptoms, and the lesion resolved within 48 hours of initiating doxycycline 100 mg twice a day for 14 days. | ||||
| Related Images: | lyme_disease_2_080502 | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_2_080502 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE | Category: | infections and infestations / reactive erythema / annular eruption | ||
| Body Site: | back | Age: | 68 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | |||||
| Comments: | This 68-year-old woman developed an itchy papule on her back 3 days ago followed by an enlarging annular red plaque. She had no systemic symptoms, and the lesion resolved within 48 hours of initiating doxycycline 100 mg twice a day for 14 days. | ||||
| Related Images: | lyme_disease_1_080502 | ||||
| © 2001-2009, DermAtlas | Image Name: | Lyme_Disease_1_070810 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE / ERYTHEMA CHRONICUM MIGRANS | Category: | bites and stings / annular eruption | ||
| Body Site: | thigh / leg | Age: | 9 years | ||
| Contributor: | Elizabeth Kelnhofer | ||||
| Description: | 12 cm annular red plaque with central 1.5 X 3 cm red patch | ||||
| Comments: | This healthy 9-year-old boy developed fever, head ache, sore throat, myalgias, and an annular red plaque where a bite was noted a week ago. A tick was never recovered. | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_3_070701 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE | Category: | annular eruption / figurate erythema / infections and infestations | ||
| Body Site: | leg / knee | Age: | 4 years | ||
| Contributor: | Robin Stevenson | ||||
| Description: | 10 cm edematous plaque with purple center and red advancing border | ||||
| Comments: | This healthy 4-year-old boy developed a flu-like syndrome associated with a solitary asymptomatic expanding plaque on the back and side of his right knee. He lived in an area endemic for Lyme disease, and his mother pulled many ticks from his skin during daily tick inspections during the summer. | ||||
| Related Images: | All related Images lyme_disease_1_070701 lyme_disease_2_070701 | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_2_070701 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE | Category: | annular eruption / figurate erythema / infections and infestations | ||
| Body Site: | leg / knee | Age: | 4 years | ||
| Contributor: | Robin Stevenson | ||||
| Description: | 10 cm edematous plaque with purple center and red advancing border | ||||
| Comments: | This healthy 4-year-old boy developed a flu-like syndrome associated with a solitary asymptomatic expanding plaque on the back and side of his right knee. He lived in an area endemic for Lyme disease, and his mother pulled many ticks from his skin during daily tick inspections during the summer. | ||||
| Related Images: | All related Images lyme_disease_1_070701 lyme_disease_3_070701 | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_1_070701 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE | Category: | annular eruption / figurate erythema / infections and infestations | ||
| Body Site: | leg / knee | Age: | 4 years | ||
| Contributor: | Robin Stevenson | ||||
| Description: | 10 cm edematous plaque with purple center and red advancing border | ||||
| Comments: | This healthy 4-year-old boy developed a flu-like syndrome associated with a solitary asymptomatic expanding plaque on the back and side of his right knee. He lived in an area endemic for Lyme disease, and his mother pulled many ticks from his skin during daily tick inspections during the summer. | ||||
| Related Images: | All related Images lyme_disease_2_070701 lyme_disease_3_070701 | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_1_061106 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE | Category: | infections and infestations / annular eruption | ||
| Body Site: | arm | Age: | 10 years | ||
| Contributor: | Taryn Holman | ||||
| Description: | multiple expanding 3-5 cm annular red plaques | ||||
| Comments: | This healthy 10-year-old boy developed multiple expanding annular red plaques on his trunk and extremities. He complained of mild sore throat, head ache, arthralgias, and myalgias. The skin lesions and symptoms resolved within 2 days of starting oral doxycycline. | ||||
| Related Images: | All related Images lyme_disease_4_061106 lyme_disease_3_061106 lyme_disease_2_061106 | ||||
| © 2001-2009, DermAtlas | Image Name: | lyme_disease_2_061106 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE | Category: | infections and infestations / annular eruption | ||
| Body Site: | arm | Age: | 10 years | ||
| Contributor: | Taryn Holman | ||||
| Description: | multiple expanding 3-5 cm annular red plaques | ||||
| Comments: | This healthy 10-year-old boy developed multiple expanding annular red plaques on his trunk and extremities. He complained of mild sore throat, head ache, arthralgias, and myalgias. The skin lesions and symptoms resolved within 2 days of starting oral doxycycline. | ||||
| Related Images: | All related Images lyme_disease_4_061106 lyme_disease_3_061106 lyme_disease_1_061106 | ||||
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