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
http://escholarship.org/uc/item/9cs1x7r5#page-1