Merging Patches, an Atypical Presentation of Disseminated Cutaneous Lyme Disease: A Case Report

TitleMerging Patches, an Atypical Presentation of Disseminated Cutaneous Lyme Disease: A Case Report
Publication TypeJournal Article
Year of Publication2020
JournalJ Emerg Med
VolumeS0736-4679
Issue20
Start Page30844-1
Date Published10/2020
AuthorsToarta C, Bogoch II, Carr D
Keywordsdermatology, disseminated rash, Lyme disease, systemic illnesses, tick-borne diseases
Abstract

We describe a phenomenon of disseminated Lyme with multiple rash complexes that is unrecognized by clinicians. A 65-year-old woman with no prior medical history presented with flu-like symptoms including headache, nausea, and arthralgias, as well as a nonpruritic rash on her lower limbs. On physical examination, multiple red, blanching patches with a diameter of up to 20 cm were seen.

URLhttps://www.jem-journal.com/article/S0736-4679(20)30844-1/fulltext