Wednesday, October 5, 2022

First Signs Of Lyme Disease

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Other Symptoms Of Lyme Disease In Dogs

Early Vs. Late Lyme Disease Symptoms

Dogs are more resilient against Lyme disease than other animals. According to an experimental study, only a few percentage of pet dogs that test positive for this disease develop symptoms.

Dog Lyme disease can also result in intermittent arthritis, similar to humans, and rarely results in a kidney infection. Other symptoms include:

  • Pain in Joints and leg
  • Signs of rash in areas such as the leg or the limb
  • Signs of fever and illness
  • Joint pain or

All of these symptoms are indicative of a tick bite.

Lyme Disease Rashes And Look

Circular, expanding rash with target-like appearance.

Expanding rash with central crust

Expanding lesion with central crust on chest.

Expanding erythema migrans

Photo Credit: Reprinted from Bhate C, Schwartz RA. Lyme disease: Part I. Advances and perspectivesexternal icon. J Am Acad Dermatol 2011 64:619-36, with permission from Elsevier.

Description:Early, expanding erythema migrans with nodule.

Multiple rashes, disseminated infection

Early disseminated Lyme disease multiple lesions with dusky centers.

Red, oval plaque

Red, expanding oval-shaped plaque on trunk.

Expanding rash with central clearing

Circular, expanding rash with central clearing.

Bluish hued rash, no central clearing

Bluish hued without central clearing.

Expanding lesion, no central clearing

Expanding lesion without central clearing on back of knee.

Red-blue lesion with central clearing

Red-blue lesion with some central clearing on back of knee.

Insect bite hyper-sensitivity

Large itchy rash caused by an allergic reaction to an insect bite.

Fixed drug reaction

Description:A skin condition that occurs up to two weeks after a person takes a medication. The skin condition reappears at the same location every time a person takes that particular medication.

Ringworm

Description:Ringworm is a common skin infection that is caused by a fungus. Its called ringworm because it can cause a ring-shaped rash that is usually red and itchy with raised edges.

Pityriasis rosea rash
Granuloma annulare rash

How To Avoid Tick Bites

To reduce the chance of being bitten:

  • cover your skin while walking outdoors and tuck your trousers into your socks
  • use insect repellent on your clothes and skin products containing DEET are best
  • stay on clear paths whenever possible
  • wear light-coloured clothing so ticks are easier to see and brush off

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Chronic Lyme Disease Symptoms

If Lyme disease is not diagnosed and treated early, it may become late-stage or chronic. This may also occur when early treatment is inadequate. While some symptoms of chronic or late stage Lyme disease are similar to those of early Lyme, as the graphic below shows, there are important differences.

Lyme disease may spread to any part of the body and affect any body system. Typically, it affects more than one body system. In our survey, which drew over 5,000 responses, patients with chronic Lyme disease reported an average of three severe or very severe symptoms, with 74% reporting at least one symptom as severe or very severe.

An extensive list of symptoms of chronic Lyme disease was developed by Dr. Joseph Burrascano, a pioneer in treating chronic Lyme disease.

What Are The Signs & Symptoms Of Lyme Disease

Lyme Disease Diagnosis &  Treatment

Lyme disease can affect different body systems, such as the nervous system, joints, skin, and heart. The symptoms of Lyme disease are often described as happening in three stages. Not everyone with Lyme has all of these, though:

  • A circular rash at the site of the tick bite, typically within 12 weeks of infection, often is the first sign of infection. It’s considered typical of Lyme disease, but many people never get one.

    The rash sometimes has a “bull’s-eye” appearance, with a central red spot surrounded by clear skin that is ringed by an expanding red rash. It also can appear as an growing ring of solid redness. It’s usually flat and painless, but sometimes can be warm to the touch, itchy, scaly, burning, or prickling. The rash may look and feel very different from one person to the next. It can be harder to see on people with darker skin tones, where it can look like a bruise. It gets bigger for a few days to weeks, then goes away on its own. A person also may have flu-like symptoms such as fever, tiredness, headache, and muscle aches.

  • The last stage of Lyme disease happens if the early stages weren’t found or treated. Symptoms can begin anytime from weeks to years after an infectious tick bite. In kids and teens, this is almost always in the form of arthritis, with swelling and tenderness, particularly in the knees or other large joints.
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    Symptoms Od Early Localized Lyme Disease

    The early symptoms of Lyme disease are flu-like, with fever, chills, tiredness, muscle aches, joint pain, and a bulls eye rash. Later symptoms can be different from person to person, but include pain and swelling in the joints, numbness, weakness of the facial muscles, memory problems, shortness of breath and headaches.

    Concerned that you or a loved one may have this condition? Start your symptom assessment in the free Ada app.

    Dont Miss: Chance Of Lyme Disease From Deer Tick

    Symptoms Of Tickborne Illness

    Many tickborne diseases can have similar signs and symptoms. If you get a tick bite and develop the symptoms below within a few weeks, see your healthcare provider.

    The most common symptoms of tick-related illnesses include:

    • Fever/chills. All tickborne diseases can cause fever.
    • Aches and pains. Tickborne diseases can cause headache, fatigue, and muscle aches. People with Lyme disease may also have joint pain.

    Your healthcare provider should evaluate the following before deciding on a plan for treatment:

    • Your symptoms,
    • the geographic region where you were bitten, and
    • lab tests, depending on the symptoms and the geographic region where you were bitten.

    Tick paralysis is thought to be caused by a toxin in the saliva of an attached tick. People with tick paralysis can experience weakness or paralysis that gradually moves up the body. These symptoms can sometimes resemble other neurologic conditions . Patients typically regain movement within 24 hours of removing the tick. Learn more at Tick paralysis: MedlinePlus Medical Encyclopediaexternal icon.

    Links with this icon indicate that you are leaving the CDC website.

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    How Can You Get Lyme Disease

    Its important to remember that only a minor number of deer ticks can actually lead to Lyme disease. This is because if the bite is noticed right away, the risk of infection tends to be very low.

    In saying that, if you are bitten by an infected deer tick, and it goes unnoticed for a long period of time, its possible for Borrelia bacteria to enter your skin, make their way into the bloodstream, ultimately causing Lyme disease. This is unlikely though, according to Mayo Clinic, if the tick has been attached for less than 36-48 hours .

    The majority of those who get Lyme disease are infected through the bites of immature ticks called nymphs. Nymphs are almost invisible to the naked eye which makes detecting them less likely – this is why the majority of people who are infected with Lyme disease are infected through younger ticks.

    While adult ticks can also transmit Lyme disease bacteria, they are much larger and are more likely to be discovered and removed before they have had time to transmit the bacteria into the bloodstream.

    Some factors that can increase your risk of getting Lyme disease include:

    • Spending a significant amount of time in woodlands or grassy areas
    • Not using appropriate repellants based on where you are spending a lot of time outside
    • Having uncovered skin
    • Not removing ticks promptly or properly

    What Are The Second Stage Signs And Symptoms Of Lyme Disease

    Lyme Disease Symptoms and The First Month of Treatment

    The symptoms of second stage, early disseminated, Lyme disease can be difficult to attribute. Symptoms include severe fatigue, fever, pain, intermittent weakness and achiness of the muscles and joints, numbness in arms and legs, vision changes, and cognitive dysfunction such as short-term memory difficulties and problems multitasking. These symptoms are not specific for Lyme disease and can make the diagnosis of second stage Lyme disease very challenging.

    More recognizable Lyme disease nervous system manifestations include facial paralysis , or meningitis with severe headache and stiff neck. Notable cardiac manifestations include passing out or feeling faint from an abnormally slow heart rate, irregular heart palpitations, or unexplained difficulty tolerating exercise. Meningitis and carditis are both potentially serious Lyme disease conditions and warrant immediate medical attention.

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    What Are The First Signs And Symptoms Of Lyme Disease

    In the first early localized stage of Lyme disease the skin at the site of the tick bite becomes infected with Borrelia burgdorferi bacteria which can cause an expanding round or oval red skin lesion called erythema migrans. This may or may not be associated with flu-like symptoms within days to a month after the tick bite such as achiness, chills, fever, sweats, fatigue, malaise, headache, stiff neck, muscle soreness, joint pain, swollen lymph nodes, and sore throat. The combination of the skin lesion and flu-like symptoms are the primary manifestations of acute stage Lyme disease. Acute Lyme disease is not associated with typical cold-like symptoms of runny nose, prominent cough, or prominent diarrhea.

    What Causes Lyme Disease

    Lyme disease is caused by bacteria. In the United States, this is usually a bacterium called Borrelia burgdorferi. It spreads to humans through the bite of an infected tick. The ticks that spread it are blacklegged ticks . They are usually found in the:

    • Northeast
    • Upper Midwest
    • Pacific coast, especially northern California

    These ticks can attach to any part your body. But they are often found in hard-to-see areas such as your groin, armpits, and scalp. Usually the tick must be attached to you for 36 to 48 hours or more to spread the bacterium to you.

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    Ongoing Symptoms Of Lyme Disease

    A few people who are diagnosed and treated for Lyme disease continue to have symptoms, like tiredness, aches and loss of energy, that can last for years.

    These symptoms are often compared to fibromyalgia and chronic fatigue syndrome.

    It’s not clear why this happens to some people and not others. This means there’s also no agreed treatment.

    Speak to a doctor if your symptoms come back, or do not improve, after treatment with antibiotics.

    The doctor may be able to offer you further support if needed, such as:

    • referral for a care needs assessment
    • telling your employer, school or higher education institution that you require a gradual return to activities
    • communicating with children and families’ social care

    Page last reviewed: 05 July 2021 Next review due: 05 July 2024

    Which Areas Are More Likely To Have It

    Slideshow: Lyme Disease: What You Need to Know About ...

    The tick that causes Lyme disease has been moving from the Northeast and upper Midwest into the Southern and Western U.S., Mexico, and Canada. Cases in California and Florida are on the rise. After a drop between 2017 and 2018, the numbers jumped a little bit in 2019.

    But most Lyme cases in 2019 were in 15 states: Connecticut, Delaware, Maine, Maryland, Massachusetts, Minnesota, New Hampshire, New

    Jersey, New York, Pennsylvania, Rhode Island, Vermont, Virginia, West Virginia, and Wisconsin. Washington, DC, is also a hotspot.

    In 2019, Pennsylvania had the most Lyme infections, with 6,763. New York was next, with 2,847 cases.

    In the Southern U.S., where itâs hotter, ticks stay under leaves so they don’t dry out. This means people donât get Lyme from Southern ticks very often because they don’t usually come out to bite.

    Even though people only report about 30,000 cases of Lyme infection in the U.S. each year, there are actually around 476,000 a year. The same tick also can spread other diseases, including babesiosis, anaplasmosis, and Powassan virus. Those diseases are also on the rise in the U.S.

    Whoâs likeliest to get Lyme disease?

    Boys up to age 15 and men between the ages of 40 and 60 are the most likely to get Lyme disease. Thatâs because they tend to play outside and go camping, hunting, and hiking.

    Why are there more ticks now than there used to be?

    There are several reasons why Lyme is spreading. Some of these are:

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    What Are Signs And Symptoms Of The Third Stage Of Lyme Disease

    Late stage Lyme disease can result when treatment is unsuccessful or started too late due to unrecognized symptoms or misdiagnosis. The late disseminated stage occurs months or years after initial infection and can have a major impact on a patients health and quality of life. Late Lyme arthritis is a third stage Lyme disease manifestation that involves fluid accumulation and pain in joints, particularly in the knee joints. Late neurologic disease is a 3rd stage condition that can also be debilitating and difficult to diagnose. Late disseminated Lyme disease symptoms include a variety of symptoms that are often neurologic in origin including: numbness in extremities, mental fogginess and concentration problems, and difficulty following conversations or processing information.

    What’s The Best Way To Prevent A Tick Bite

    Ticks can’t fly or jump. But they live in shrubs and bushes and can grab onto you when you pass by. To avoid getting bitten:

    • Wear pants and socks in areas with lots of trees and when you touch fallen leaves.
    • Wear a tick repellent on your skin and clothing that has DEET, lemon oil, or eucalyptus.
    • For even more protection, use the chemical permethrin on clothing and camping gear.
    • Shower within 2 hours after coming inside. Look for ticks on your skin, and wash ticks out of your hair.
    • Put your clothing and any exposed gear into a hot dryer to kill whatever pests might be on them.

    How do you know if you’ve been bitten?

    Since ticks are so small, you’ve got to have pretty good eyes to see them.

    If you have a small, red bump on your skin that looks like a mosquito bite, it could be a tick bite. If it goes away in a few days, itâs not a problem. Remember, a tick bite doesnât necessarily mean you have Lyme disease.

    If you notice a rash in the shape of a bull’s-eye, you might have a tick bite. Talk to your doctor about treatment.

    If you have an allergic reaction to ticks, you’ll notice a bite right away.

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    Correctly Diagnosing Lyme Disease

    A Lyme-literate doctor is a licensed board-certified medical doctor who also has a specialty in diagnosing and treating Lyme disease with the most advanced equipment and technologies.

    Lyme-literate doctors know how to get the correct diagnosis early, so you are not at risk for developing late-stage Lyme disease, which can be debilitating.

    Most family practitioners test for Lyme disease using the only two tests available today, the ELISA and the Western Blot. Unfortunately, these tests are only accurate if the Lyme antibodies are active at the time of your test. If they are not active, your test can offer a negative result.

    The results do not mean you are negative for Lyme disease. It means you were negative for the antibodies associated with Lyme. Lyme-literate doctors know the truth that antibodies can go inactive at times and hide in the walls of your bloodstream, going undetected by insufficient tests.

    There are Lyme-literate doctors available who can help you get an accurate diagnosis. Some of the best doctors are outside the U.S., like Mexico, where leaders in the industry practice.

    Do whatever it takes to meet with a Lyme-literate doctor because if your Lyme disease is misdiagnosed or goes untreated, your body will suffer.

    Whos At Risk And Where Are Ticks Found

    CDC: How to spot signs, symptoms of Lyme disease

    The risk of getting Lyme disease is higher:

    • for people who spend time in woodland or moorland areas
    • from March to October because more people take part in outdoor activities

    Ticks are found throughout the UK and in other parts of Europe and North America. There are a high number of ticks in the Scottish Highlands.

    Its thought only a small proportion of ticks carry the bacteria that cause Lyme disease. Being bitten doesnt mean youll definitely be infected. However, its important to be aware of the risk and speak to a GP if you start to feel unwell.

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    Stage : Changing Skin

    In stage 3, few signs of Lyme disease appear on the skin. Most problems occur in the heart and nervous system, and these can be serious.

    Where you see signs on your skin: If you were in Europe when bit by a tick, you may see changes to your skin in this late stage. These changes usually appear on a hand or foot. Some people develop this change on both of their hands or feet. It can also occur on a knee, elbow, or elsewhere.

    What the skin looks like: The skin begins to swell, and you may notice some redness. These signs are caused by having a bacterial infection for a long time. The affected skin may also feel sore.

    In time, the skin starts to harden and shrink, causing deep lines to form. If you have hair in the area, it tends to fall out. The sweat glands can die, and the skin often becomes so thin that it tears easily. The medical name for this condition is acrodermatitischronical atrophicans.

    In stage 3, you may also see tumors on your skin. It is believed that the long-term infection and swelling in the lymph nodes can lead to a cancer known as cutaneous B-cell lymphoma.

    Skin starts to harden and shrink, causing deep lines to form

    The medical name for this condition is acrodermatitis chronical atrophicans. Swelling, hardened skin, and deep lines on the foot of someone who has had Lyme disease for years.

    When you see signs of changing skin and symptoms: These tend to occur months or years after you are bitten by a tick.

    • Arthritis

    • Dementia

    • Heart failure

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