Lyme Disease, Erythema Migrans - DermAtlas

Contributor

Tim Doran, MD

Diagnosis

Lyme disease erythema migrans

Body Site

trunk back arm

Age

9 years

Pigmentation

light

Organization

annular

Color

red

Morphology

plaqulous (plaque / nodule / tumor)

Pattern

generalized, disseminated central (centrifugal - trunk predominant)

Comments

This 9-year-old boy was initially evaluated for fever 10 days ago. He had a single mouth ulceration and was diagnosed with a possible enteroviral infection. He returned for evaluation of multiple anular plaques on the trunk, but he was feeling well and the fever had resolved. He lived in a tick infested area and was treated with oral doxycycline with rapid resolution of the skin eruption. Look carefully to identify the lesions scatterd on his back and arms. Don't be distracted by his innocent pigmented nevi.

Description

5 3-4 cm annular red plaques

Image Added

7/23/2011 17:21:43

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Other Resources

PubMed Medline Plus Medscape

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