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Can a Lyme rash only have 1 ring?


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I know someone who's little boy who had a tick bite (didn't see the tick attached) but red bump, then 1 week later a circular rash with ONLY 1 ring. Low grade fever but everything cleared up within a few days. Ped said would have seen the ring right away (I believe that's wrong), AND would have seen the tick attached (wrong!) and there would have been several rings if it was Lyme induced. Anyone have any experience with this???? Ped (from NYC) refuses to give any antibiotics. The bite happened in endemic area outside NYC.

 

She would love some guidance. Thanks much.

 

darlene

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Here's a link to some pictures of Lyme rashes - as you can see they don't all look the same:

http://www.lyme.org/gallery/rashes.html

 

Also,this is from the ILADS web site regarding rashes:

 

"Fewer than 50% of patients with Lyme disease recall any rash. Although the erythema migrans (EM) or “bull’s-eye” rash is considered classic, it is not the most common dermatologic manifestation of early-localized Lyme infection. Atypical forms of this rash are seen far more commonly. It is important to know that the EM rash is pathognomonic of Lyme disease and requires no further verification prior to starting an appropriate course of antibiotic therapy."

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