Can affect people of all ages, but 1/3 to 1/2 of all cases occur in children a...
Tick bite
History of tick bite can only be elicited in 1/3 of patients with Lyme disease.
Most people with tick bites do not develop Lyme disease.
Even in endemic areas, risk of developi...
Oral antibiotics
Initial therapy for early Lyme disease
Specific therapies
Patients >8 years old: Doxycycline is drug of choice.
Younger children or people who do not tolerate tetra...
In general, prognosis is much better for children than for adults. Only 2% of children have chronic arthritis at 6 months.
Most of the cardiac manifestations will disappear with o...
Bunikis J, Barbour AG. Laboratory testing for suspected Lyme disease. Med Clin North Am. 2002;86(2):311–340. [View Abstract on OvidInsights]
Feder HM Jr. Lyme disease in childr...
088.81 Lyme Disease
711.80 Arthropathy associated with other infectious and parasitic diseases, site unspecified
320.7 Meningitis in other bacterial diseases classified elsewhere
A69.20 Ly...
Q: What does the deer tick look like?
A: The deer tick is flat, very small (about the size of a pin head), and has eight legs. The adult male is black, and the female is red and black. They can gro...
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20.4 Lyme disease, erythema migrans. A solitary, annular, targetlike, erythematous plaque of erythema migrans is seen.
From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis and Management, 3rd Edition. Philadelphia: Lippincott Williams & Wilkins, 2009.
From Goodheart HP. Go...
20.5 Lyme disease. In this patient, erythema migrans is manifested by concentric rings with resolving central vesicles.
From Goodheart HP. G...
20.6 Lyme disease. Multiple confluent lesions of erythema migrans are noted.
From Goodheart HP. Goodheart's Photoguide to Common Skin Disord...
Erythema migrans on shin. Expanding lesion from tick bite
Multiple EM lesions in a man with fever and arthralgia who subsequently developed Bell's Palsy
Erythema migrans - a classic "bullseye" expanding lesion
Multiple EM lesions in a teenager with fever and arthralgia
Erythema migrans eruption 2 weeks after a known tick bite
Tiny ixodid nymphal tick
Multiple annular lesions of erythema migrans are seen here.
From Goodheart HP. Goodheart's Photoguide to Common Skin Disorders: Diagnosis an...