|Title||Merging Patches, an Atypical Presentation of Disseminated Cutaneous Lyme Disease: A Case Report|
|Publication Type||Journal Article|
|Year of Publication||2020|
|Journal||J Emerg Med|
|Authors||Toarta C, Bogoch II, Carr D|
|Keywords||dermatology, disseminated rash, Lyme disease, systemic illnesses, tick-borne diseases|
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.