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DermAtlas: THIGH - Lyme disease
© 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 

DermAtlas: ARM - Lyme disease
© 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 

DermAtlas: BACK - Lyme disease
© 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 

DermAtlas: BACK - Lyme disease
© 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 

DermAtlas: THIGH - Lyme disease
© 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.

DermAtlas: LEG - erythema chronicum migrans
© 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 

DermAtlas: LEG - erythema chronicum migrans
© 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 

DermAtlas: LEG - erythema chronicum migrans
© 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 

DermAtlas: ARM - erythema chronicum migrans
© 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 

DermAtlas: ARM - erythema chronicum migrans
© 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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© DermAtlas, Johns Hopkins University; 2000-2009
Bernard A. Cohen, MD, Christoph U. Lehmann, MD

DermAtlas was last updated: Oct-28-2009
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