Erythema migrans – diagnostic challenges, procedures,
and treatment

Aleksandra Kocbach-Przudzik; Anna Botulińska; Agnieszka Markiewicz; Agnieszka B. Owczarczyk-Saczonek; Piotr Kocbach

doi:10.5114/dr.2019.92735

eISSN: 2084-9893
ISSN: 0033-2526

Dermatology Review/Przegląd Dermatologiczny

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6/2019
vol. 106

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abstract:

Review article

Erythema migrans – diagnostic challenges, procedures, and treatment

Aleksandra Kocbach-Przudzik

¹

,

Anna Botulińska

¹

,

Agnieszka Markiewicz

²

,

Agnieszka B. Owczarczyk-Saczonek

,

Piotr Kocbach

¹

Clinical Department of Infectious Diseases in Ostroda, Medical College, University of Warmia and Mazury, Olsztyn, Poland/Kliniczny Oddział Chorób Zakaźnych w Ostródzie, Collegium Medicum, Uniwersytet Warmińsko-Mazurski, Olsztyn, Polska

Department of Dermatology, Sexually Transmitted Diseases and Clinical Immunology, Medical College, University of Warmia and Mazury, Olsztyn, Poland/Klinika Dermatologii, Chorób Przenoszonych Drogą Płciową i Immunologii Klinicznej Collegium Medicum, Uniwersytet Warmińsko-Mazurski, Olsztyn, Polska

Dermatol Rev/Przegl Dermatol 2019, 106, 625–633

DOI: https://doi.org/10.5114/dr.2019.92735

Online publish date: 2020/02/07

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Lyme borreliosis is the most known and frequent disease caused by ticks. This disease may be limited to the skin, involve muscle and articular system, the heart, or the nervous system. Erythema migrans is a skin manifestation of an early Lyme borreliosis. Physicians specializing in infectious diseases, family doctors and dermatologists deal with treating the erythema. Its diagnosis is made on the basis of clinical presentation and patient’s history. Seldom is it easy since skin lesions may resemble other diseases, and the patient often fails to associate the lesion with a tick bite. This article presents interesting examples of atypical manifestations of erythema migrans, and discusses differential diagnostics. Moreover, the work shows diagnostic possibilities and therapeutic recommendations regarding the disease.

keywords:

Erythema migrans – diagnostic challenges, procedures, and treatment

Aleksandra Kocbach-Przudzik 1 , Anna Botulińska 1 , Agnieszka Markiewicz 2 , Agnieszka B. Owczarczyk-Saczonek , Piotr Kocbach 1

Lyme borreliosis, erythema migrans, Lyme disease, tick bite

Aleksandra Kocbach-Przudzik

¹

,

Anna Botulińska

¹

,

Agnieszka Markiewicz

²

,

Agnieszka B. Owczarczyk-Saczonek

,

Piotr Kocbach

¹