
What Are The Symptoms Of Lyme Disease?

Lyme Disease-suspected skin lesions
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
The classic skin lesion of Lyme Disease is EM (erythema migrans ) ,a single lesion which occurs at the site of tick bite in Early Infection: Stage 1 (Localized Infection).
The lesion has partial central clearing, a bright red outer border, and a target center.
Approximately 20% of patients do not however exhibit this characteristic skin manifestation. You also don't have any history of tick bite.
In Early Infection: Stage 2 patients may develop multiple secondary annular skin lesions similar in appearance to the initial lesion.
Skin involvement is commonly accompanied by severe headache, mild stiffness of the neck, fever, chills, migratory musculoskeletal pain, arthralgias, and profound malaise and fatigue. But you don't have any of the symptoms.
Your description does not fit into EM (erythema migrans ).
However if possible,post close up of lesions without compromising privacy.
Regards
Dr. T.K. Biswas M.D. XXXXXXX


Erythema migrans-suspected Lyme disease
Detailed Answer:
Hi,
Thank you for your query. I can understand your concerns.
You have erythematous somewhat annular patches with a number of satellite lesions on upper thigh. The only skin lesion which this closely resembles is Erythema migrans, the cutaneous manifestation of Lyme disease.
Biopsy of the skin lesion can be subjected to culture of B. burgdorferi-the causative organism of Lyme disease along with enzyme-linked immunosorbent assay (ELISA) for,both IgM and IgG responses to the spirochete.
Regards
Dr. T.K. Biswas M.D. XXXXXXX

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