Erythema Chronicum Migrans
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Daniel H. Chappell
An 18-year-old man with developmental disability presented with a circular, erythematous red rash (pictured) with central clearing that measured 5 cm in diameter. The rash developed on his abdomen 9 days after his father removed a small tick from the area where the rash appeared. His parents were unaware of how long the tick had been attached. The patient had several recent outdoor exposures while travelling in Minnesota. He denied fever, chill, headache, neck stiffness, myalgia, arthralgia, fatigue, or pruritus.
Early Lyme disease was diagnosed on the basis of erythema chronicum migrans and exposure in an endemic area. The patient was prescribed doxycycline (100 mg twice daily for 21 days). The rash slowly improved, and no other symptoms occurred.
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Financial Disclosures: None reported.
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Reference
DePietropaolo DL Powers JH Gill JM . Diagnosis of Lyme disease. Am Fam Physician. 2005;72(2):297-304.Suche in Google Scholar
© 2012 The American Osteopathic Association
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- AOA Communication
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- Proposed Amendment to the AOA Code of Ethics and New “Rules and Guidelines”
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- Osteopathic Medical Students' Beliefs About Osteopathic Manipulative Treatment at 4 Colleges of Osteopathic Medicine
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- Correction
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- Cardiac Computed Tomographic Angiography and the Primary Care Physician
- Original Contribution
- Efficacy of Osteopathic Manipulative Treatment for Low Back Pain in Euhydrated and Hypohydrated Conditions: A Randomized Crossover Trial
- Brief Report
- Iliacus Tender Points in Young Adults: A Pilot Study
- Clinical Practice
- Fatal Venous Thromboembolism After Splenectomy: Pathogenesis and Management
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