A pink, ring-like, slightly raised rash that expands outward is a classic sign of Lyme disease. Lyme disease can display multiple rings, resembling a bull's-eye, of redness, suggesting an enlarging rash spreading from the bite site of the tick. Pink or red circles of skin surrounding the bite site of the tick bite are typical of Lyme disease. The tick of Lyme disease is very small. This ruler is in millimeters, showing a tick that is 3 mm in length.
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A pink, ring-like, slightly raised rash that expands outward is a classic sign of Lyme disease.
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Overview
Lyme disease is the result of infection with the bacteria Borrelia burgdorferi. The disease is transmitted by infected ticks that also feed on mice and deer. The tick can be found attached to the skin in many cases. Most cases of Lyme disease occur in the spring and summer months.  The tick bite is rarely painful, so after any exposure to wooded or grassy areas, it is a good idea to do a "tick check," looking for any small black speck that may be a tick still attached to the skin.

Not every tick bite will result in Lyme disease, but it is a good idea to discuss Lyme disease with your doctor following a tick bite. Lyme disease, in most cases, can be eliminated with antibiotics, especially if treatment is started when symptoms are first noted.

Lyme disease is divided into 3 phases:

Early localized
:
Symptoms start a few days to a month after a tick bite. The classic "bull's eye" lesion does not need to develop for a diagnosis of Lyme disease. If left untreated, the disease can spread to the lymph nodes.
 
Early disseminated:
Multiple skin lesions are seen, along with flu-like symptoms and head, neck, and joint pain. There may also be heart or nerve symptoms as well as arthritis, which can develop over a few months to up to 2 years after the initial infection.

Late:
The heart, joints, and nervous system can be affected. Symptom can develop over a few months to years after the initial infection and may be difficult to treat.
Last Modified: 5 Mar 2008
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