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Red macule or papule, expanding to become an annular lesion up to 70 cm in diameter | ||
Differential Diagnosis | [Top] [Nav] | |
Lyme disease | ||
Discussion -- not available online | [Top] [Nav] | |
Notes | [Top] [Nav] |
* | I no longer track the literature on Lyme disease and its cutaneous manifestations; it is now well outside the zebra realm. |
Update Comments | [Top] [Nav] | |
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Footnotes in Print Edition | [Top] [Nav] |
(1a) | Potential wider range for Lyme disease. Anonymous. Ann Int Med. September 1984:I-152. | |
(1b) | Update: Lyme disease--United States. MMWR Morb Mortal Wkly Rep 1984 May 18;33(19):268-70. Pubmed Similars | |
(2) | Erythema chronicum migrans of Lyme disease. Berger BW. Arch Dermatol 1984 Aug;120(8):1017-21. Pubmed+Abstract Similars | |
(3a) | Early and late cutaneous manifestations in Ixodes-borne borreliosis (erythema migrans borreliosis, Lyme borreliosis). Asbrink E, Hovmark A. Ann N Y Acad Sci 1988;539:4-15. Pubmed Similars | |
(3b) | Clinical manifestations and diagnosis of neuroborreliosis. Stiernstedt G, Gustafsson R, et al. Ann N Y Acad Sci 1988;539:46-55. Pubmed+Abstract Similars | |
(3c) | Clinical pathologic correlations of Lyme disease by stage. Duray PH, Steere AC. Ann N Y Acad Sci 1988;539:65-79. Pubmed+Abstract Similars | |
(4) | The gyrate erythemas. Hurley HJ, Hurley JP. Semin Dermatol. 1984;3:327-336. | |
(-) | Ticks, spirochetes, and new diagnostic tests for Lyme disease. Mertz LE, Wobig GH, et al. Mayo Clin Proc 1985 Jun;60(6):402-6. Pubmed Similars | |
(-) | Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 51-1988. A 92-year-old woman with several cranial-nerve defects and weakness of the left leg. N Engl J Med 1988 Dec 22;319(25):1654-62. Pubmed Similars |
New References | [Top] [Nav] |
Lyme disease | ||
101. | Lyme disease in children in southeastern Connecticut. Pediatric Lyme Disease Study Group [see comments]. Gerber MA, Shapiro ED, et al. N Engl J Med 1996 Oct 24;335(17):1270-4. Pubmed+Abstract Similars | |
102. | Use of a novel technique of cutaneous lavage for diagnosis of Lyme disease associated with erythema migrans. Wormser GP, Forseter G, et al. JAMA 1992 Sep 9;268(10):1311-3. Pubmed+Abstract Similars | |
103. | Current perspective on Lyme borreliosis [clinical conference] [published erratum appears in JAMA 1992 Oct 14;268(14):1860] [see comments]. Kaslow RA. JAMA 1992 Mar 11;267(10):1381-3. Pubmed Similars | |
104. | Diagnosis of Lyme disease based on dermatologic manifestations. Malane MS, Grant-Kels JM, et al. Ann Intern Med 1991 Mar 15;114(6):490-8. Pubmed+Abstract Similars | |
Other ringed skin lesions | ||
105. | Mechanism of "racquetball bull's eye". Greene RE, Henry TE. JAMA. 1993;270:391. | |
106. | Practical Problems in Dermatology. 2nd ed. Marks R. London: Martin Dunitz, 1996: 264 pp. Amazon.com |
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©1986-2000 John Sotos, MD. All rights reserved. Last updated 16:33 PDT on July 4, 2000. | [Top] |