Lyme disease, erythema chronicum migrans



	Erythema chronicum migrans is the initial lesion of Lyme disease, and often appears at the site of the infecting tick bite. It is a red, enlarging rash, flat or slightly raised, and may reach from 4 to 20 inches across (the average rash is 6 inches). (Image courtesy of the Centers for Disease Control and Prevention.)

Review Date: 12/15/2011
Reviewed By: Jacob L. Heller, MD, MHA, Emergency Medicine, Virginia Mason Medical Center, Seattle, Washington. Also reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc.

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