Vesicular erythema migrans: an atypical and easily misdiagnosed form of Lyme disease

Bulls eye rashes are only one type of dermatological manifestation of Lyme disease. Atypical rashes can arise, and in this article, a vesicular rash was seen in a patient with Lyme disease, which could easily be confused with a herpes virus infection. Solid red rashes, which can be confused with a cellulitis, are a common manifestation of Lyme in the US, although some patients never develop a rash at all. This article discusses atypical presentations of EM, which patients and health care providers need to be aware of.
http://escholarship.org/uc/item/9cs1x7r5#page-1
Erythema migrans is the initial sign in the majority of patients infected with Borrelia, the genus of…
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