| © 2001-2010, DermAtlas | Image Name: | lyme_1_010709 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE / ERYTHEMA CHRONICUM MIGRANS / BORRELIA BURGDORFERI INFECTION | Category: | infections and infestations / annular eruption / reactive erythema | ||
| Body Site: | hip / thigh buttock | Age: | 16 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | large red target-like indurated plaque with central crust | ||||
| Comments: | A 16 year old boy developed a pruritic expanding indurated red plaque 3 days earlier. He also complained of fever, sore throat, headache, and other flu-like symptoms. The plaque continued to grow despite 1 day of oral augmentin and an additional day of oxacillin. In the hospital he developed a lymphangitic streak and left inguinal adenopathy. After 2 doses of doxycycline the lesion began to lighten and flatten. Within 2 days his symptoms resolved. Lyme titers are pending. | ||||
| © 2001-2010, DermAtlas | Image Name: | lyme_2_010609 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE / ERYTHEMA CHRONICUM MIGRANS / BORRELIA BURGDORFERI INFECTION | Category: | infections and infestations / annular eruption / reactive erythema | ||
| Body Site: | shoulder / chest | Age: | 12 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | oval red edematous plaque with a central red papule and extending lymphangitis | ||||
| Comments: | A week earlier this 12 year old girl's mother removed a deer tick from hre daughter's shoulder. The next day they noted an itchy red edematous papule, and 4 days later she developed an expanding red plaque. The lymphangitic streak extending into the axilla developed the night before the visit. She was otherwise asymptomatic, and the lesion resolved within 2 days with oral amoxicillin | ||||
| © 2001-2010, DermAtlas | Image Name: | lyme_1_010609 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE / BORRELIA BURGDORFERI INFECTION | Category: | annular eruption / reactive erythema / infections and infestations | ||
| Body Site: | chest / shoulder | Age: | 25 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | expanding bright red edematous oval plaque | ||||
| Comments: | This 25 year old developed an expanding red edematous plaque with a central itchy crust 5 days after returning from a camping trip in Western Maryland. He had a low grade fever, headache, arthralgias, and sore throat. Symptoms and rash resolved 48 hours after initiating treatment with oral doxycycline. | ||||
| © 2001-2010, DermAtlas | Image Name: | lyme_3_010609 | File Type: | jpg | |
| Diagnosis: | ERYTHEMA CHRONICUM MIGRANS / LYME DISEASE / BORRELIA BURGDORFERI INFECTION | Category: | infections and infestations / annular eruption / reactive erythema | ||
| Body Site: | thigh / leg | Age: | 55 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | oval red edematous plaque with dusky center | ||||
| Comments: | A 55 year old woman developed an expanding oval red minimally itchy plaque on her left thigh 3 days earlier. She also complained of fever and flu-like symptoms. Her Lyme titer strongly positive, and symtoms and rash were gone 2 days later when she returned for reevaluation. | ||||
| © 2001-2010, DermAtlas | Image Name: | lyme_4_010609 | File Type: | jpg | |
| Diagnosis: | LYME DISEASE / BORRELIA BURGDORFERI INFECTION / ERYTHEMA CHRONICUM MIGRANS | Category: | infections and infestations / annular eruption | ||
| Body Site: | leg / thigh | Age: | 17 years | ||
| Contributor: | Bernard Cohen, MD | ||||
| Description: | 10 cm annular red edematous plaque with central clearing | ||||
| Comments: | A 17 year old girl complained of headache, fatigue, fever, arthralgias and sore throat for 5 days. Two days she noted an enlarging red ring on her right thigh. Within 24 hours of starting oral doxycycline her symptoms resolved and the rash began to fade. | ||||
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