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Stages Of Lyme Disease Rash

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Signs Of Lyme Disease That Appear On Your Skin

Understanding the Persistent Symptoms in Lyme Disease | Johns Hopkins Medicine

Signs of Lyme disease

If you see a rash or another sign of Lyme disease on your skin, see your primary doctor right away. When caught early and treated, Lyme disease can be cured with antibiotics and most people recover fully.

Lyme disease is caused by a bite from a black-legged tick. If you are bitten by this tick and develop Lyme disease, you may see a bulls-eye rash. Its a common sign of Lyme disease, but its not the only sign.

Lyme disease occurs in stages. Heres what you may see on your skin during each stage.

Stages Of Lyme Disease And Their Common Symptoms

If you have already been diagnosed with Lyme disease, learning about Lyme stages can help you know what symptoms you might experience. Youll also be able to watch for signs that could mean that your Lyme disease has progressed. Lyme disease symptoms are more likely to progress if you have not been appropriately treated.

If you dont have a Lyme disease diagnosis, its helpful to know that Lyme disease can cause a variety of seemingly unrelated symptoms throughout your body. If you develop symptoms listed below, especially after youve gotten a tick bite or spent time in an area where Lyme disease is common, you can ask your doctor whether you might have Lyme disease and if you should be tested for it. .

There are three stages of Lyme disease. Early localized, or Stage 1, Lyme disease occurs soon after being infected, when Lyme bacteria are still close to the site of the tick bite. Common symptoms of early localized Lyme disease include a rash or mild, flulike symptoms. Over time the Lyme bacteria can spread, or disseminate, to other parts of the body, causing more serious symptoms associated with early disseminated or late disseminated Lyme disease. This is more likely if you are not diagnosed and treated early.

How Is It Treated

Lyme disease is usually cured by 14 days of oral antibiotics if it is diagnosed during stage I. If it is not diagnosed until stage II or III, a month of antibiotics may be necessary, and the antibiotic will probably be given by injection into a muscle or vein.

Antibiotics should be given to any child who develops a rash characteristic of Lyme disease within 1 month of having a deer tick bite or within 1 month of being in a high-risk area. Remember that most deer tick bites do not pass on Lyme disease.

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Causes Of Early Disseminated Lyme Disease

Lyme disease is caused by Borrelia burgdorferi bacteria. You can contract the infection when a tick that carries the bacteria bites you. Typically, blacklegged ticks and deer ticks spread the disease. These ticks collect the bacteria when they bite mice or deer.

These tiny ticks spread the infection by attaching themselves to various parts of your body. Theyre about the size of a poppy seed and favor hidden areas such as the groin, armpits, and scalp. Often, they can remain undetected in these spots.

Most people who develop Lyme disease report that they never saw a tick on their body. The tick transmits bacteria after being attached for about 36 to 48 hours .

Early disseminated Lyme disease occurs within a few weeks of a tick bite, after the initial infection goes untreated.

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Questions To Ask Your Doctor

Early Stage Lyme Disease Rash Pictures
  • I found a tick embedded in my skin, but I cant get it out. What should I do?
  • Ive been bitten by a tick. Do I need to be seen?
  • Do I need a blood test to confirm Lyme disease?
  • Which antibiotic is best for me?
  • How long will I have to take the antibiotic?
  • What tick or insect repellent should I use for me or my child?
  • How long will the symptoms last?
  • What should I do if I still dont feel well a long time after I was bitten?

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What To Do If You Have A Blacklegged Tick Bite

Remove the tick by pulling it directly out with fine-tipped tweezers. Lift upward with slow and even pressure. Dont twist when removing it. Dont crush it or put soap or other substances on it. Dont apply heat to it.

Place the tick in a resealable container. See if you can identify what kind of a tick it is.

Immediately after removing the tick, wash your skin well with soap and water or with rubbing alcohol.

Not all ticks carry Lyme. The Lyme bacteria is transmitted only by blacklegged ticks in their nymph or adult stage.

Save the tick to show your doctor. The doctor will want to determine if its a blacklegged tick and if theres evidence of feeding. Ticks enlarge as they feed. Your risk of getting Lyme from an infected tick increases with the length of time that the tick fed on your blood.

Summary:

Pull the tick out with tweezers and save it in a resealable container for identification.

What Are The Stages Of Lyme Infection

There are three stages:

  • Early localized Lyme: Flu-like symptoms like fever, chills, headache, swollen lymph nodes, sore throat, and a rash that looks like a bull’s-eye or is round and red and at least 2 inches long
  • Early disseminated Lyme: Flu-like symptoms like pain, weakness, or numbness in your arms and legs, changes in your vision, heart palpitations and chest pain, a rash , and a type of facial paralysis known as Bellâs palsy
  • Late disseminated Lyme: This can happen weeks, months, or years after the tick bite. Symptoms might include arthritis, severe fatigue and headaches, dizziness, trouble sleeping, and confusion.

About 10% of people treated for Lyme infection donât shake the disease. They may go on to have three core symptoms: joint or muscle pain, fatigue, and short-term memory loss or confusion. This is called post-treatment Lyme disease syndrome. It can be hard to diagnose because it has the same symptoms as other diseases. Plus, there isn’t a blood test to confirm it.

Experts arenât sure why Lyme symptoms donât always go away. One theory is that your body keeps fighting the infection even after the bacteria are gone, like an autoimmune disorder.

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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.

How To Spot And Remove Ticks

Early Signs and Symptoms of Lyme Disease

Once youve come in from outside, one of the best ways to check yourself for ticks is to take a shower and bath.

Other than that, do your best to check your clothes, especially the folds of your clothes, knowing that ticks can be very small and hard to spot. Running your hands through your hair is also a good idea.

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Does Everyone Get A Lyme Disease Rash

The Lyme disease rash only appears in 70 to 80% of those with Lyme disease, according to the Center for Disease Control and Prevention. There could be several reasons for this. One, a person can have a rash and not know it. For example, if the rash occurs in a place on the body that is rarely seen, like in the groin area.

Someone may also get a rash, but it is so mild that it goes unnoticed, and others may not develop a rash. Their body may be better able to cope with the foreign bacteria in their bloodstream.

Getting a Lyme disease rash can seem like a blessing to those who struggle with the disease. The sooner you get antibiotic treatment for Lyme disease, the higher your chances of eliminating it. Developing a rash in the first month means the bacteria have not traveled throughout your body, and it is easier for antibiotics to track them down and destroy them.

What Do You Do If There’s A Tick Under Your Skin

Use a pair of fine-tipped tweezers to remove it as soon as possible. Pull upward with steady pressure. If parts of the tick are still in your skin, try to get those with the tweezers, too. After everything is out, clean the bite area with rubbing alcohol or soap and water.

You probably wonât get infected if you remove the tick within 36 to 48 hours.

How do you throw away a tick?

Put it in soapy water or alcohol, stick it to a piece of tape, or flush it down the toilet.

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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

Stage : Changing Skin

Stages of Lyme Disease · ExtermPRO

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.

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British Columbia Specific Information

Ticks are tiny bugs which feed on blood. For information on ticks, removing ticks, and how to avoid being bitten, see HealthLinkBC File #01 Tick Bites and Disease. You may also be interested in the HealthLinkBC File #96 Insect Repellent and DEET.

While most tick bites do not result in diseases, some can. Some of the diseases passed on by ticks include relapsing fever, tularemia, Rocky Mountain Spotted Fever , Q Fever and anaplasmosis. The most well-known is Lyme disease. For more information on Lyme Disease, visit BC Centre for Disease Control – Lyme Disease .

What If A Tick Bites My Dog

The more ticks in your region, the likelier it is that your furry pal will bring them home.

Your dog is much more likely to be bitten by a tick than you are. And where Lyme disease is common, up to 25% of dogs have had it at some point.

About 10% of dogs with Lyme disease will get sick. 7-21 days after a tick bite, your dog might seem like theyâre walking on eggshells. They also might have a fever and enlarged lymph nodes. Plus, they might seem tired. Dogs also get antibiotics for Lyme.

What if my dog brings ticks into my home?

Use a tick control product on your pet to prevent Lyme disease. Also, have your dog vaccinated against Lyme.

Check your dogâs whole body each day for bumps. If you notice a swollen area, see if thereâs a tick there. If you find a tick, wear gloves while you use tweezers to separate it from your dog. Then, put it in soapy water or alcohol, or flush it down the toilet.

Use alcohol to clean the spot on your dog where the tick was attached. Keep an eye on that spot, and also on your dog to make sure theyâre behaving normally. If you notice any changes, check with your vet.

Show Sources

John Aucott, MD, assistant professor of medicine, Johns Hopkins University School of Medicine director, Johns Hopkins Lyme Disease Clinical Research Center.

CDC.

Morbidity and Mortality Weekly Report: âVital Signs: Trends in Reported Vectorborne Disease Cases — United States and Territories, 2004-2016.â

American College of Rheumatology.

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What Does The Lyme Disease Rash Look Like

It starts a few days or even several weeks after the bite and then expands over a period of days or weeks to several inches across, perhaps with a central clearing. Untreated, it can last for weeks before fading, or it may fade and recur. The rash may have an irregular shape, blistering or a scabby appearance. Some rashes look like a bruise. Lyme rashes may resemble spider bites, ringworm, or cellulitis. Multiple, so-called satellite rashes may appear on different parts of the body.

If you develop a rash, take a photo of it and see a doctor as soon as possible. Other symptoms of early Lyme disease may include a fever, headache, fatigue, or muscle aches.

Unfortunately, diagnostic testing is unreliable in the early stages of infection, often giving false negatives. Treatment should not be delayed pending a positive test result if the suspicion of Lyme disease is high .

What Can I Expect Long Term If My Child Has Lyme Disease

Lyme Disease, Animation

If Lyme disease is caught and treated early, most children will make a full recovery. Some children with Lyme disease go on to experience what’s called a post-infectious syndrome with symptoms that may include feeling fatigue, joint aches and pains, headaches, difficulty sleeping, and problems concentrating. Since the infection itself is gone by this time, doctors generally don’t prescribe antibiotics. Each child is different, but it’s not uncommon for symptoms of post-infectious syndrome to linger for months, or even years, and they can be made worse by stress or other illness. But most children do make a full recovery.

Blacklegged, or deer, ticks are very small, so it helps to know what to look for when doing a tick check. Adults are about the size of sesame seeds and in the nymph or larva stage, they can be as tiny as a poppy seeds.

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The Misdiagnosis Of Lyme Disease

Without a Lyme disease rash, Lyme disease can be easily misdiagnosed. It doesnt help that the two primary tests used by clinicians are inaccurate just as much as they are accurate. The ELIZA and the Western Blot tests work by detecting Lyme bacteria antibodies in the bloodstream. The problem is that antibodies are not always detectable. They can go inactive or dormant, hide behind cell walls, and create biofilms for protection.

Another reason for misdiagnosis is the disease resembles so many other diseases, including:

What Are The Symptoms Of Lyme Disease

Symptoms can start anywhere from 3 to 30 days after the bite. They may look different depending on the stage of your infection. In some cases, you wonât notice any symptoms until months after the bite.

Early symptoms include:

All of those symptoms are also common in the flu. In most Lyme infections, one of the first symptoms youâll notice is a rash.

Without treatment, symptoms can get worse. They might include:

  • Severe headache or neck stiffness
  • Rashes on other areas of your body
  • Arthritis with joint pain and swelling, particularly in your knees
  • âDroopingâ on one or both sides of your face
  • Inflammation in your brain and spinal cord
  • Shooting pains, numbness, or tingling in your hands or feet

What does the rash look like?

Some Lyme rashes look like a bull’s-eye with circles around the middle. But most are round, red, and at least 2 inches across.

The rash slowly gets bigger over several days. It can grow to about 12 inches across. It may feel warm to the touch, but itâs usually not itchy or painful. It can show up on any part of your body.

How small are ticks?

Ticks come in three sizes, depending on their life stage. They can be the size of a grain of sand, a poppy seed, or an apple seed.

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