Saturday, May 24, 2014

Image of the Week 5/27/2014


What type of lesion is shown in this picture? What is the likely etiology?

1 comment:

  1. Erythema migrans is a cutaneous eruption that characterizes the early stage of Lyme disease. Lyme disease is transmitted by ticks (Ixodes Scapularis) carrying the Borrelia Burgdorferi bacteria.

    Three to 32 days after a tick bite, there is gradual expansion of redness around the papule representing the bite site. Multiple secondary annular lesions similar in appearance to the primary lesion will develop in 20% of patients. Treatment with antibiotics is necessary to prevent systemic involvement.

    Systemic involvement manifests as Stage 2 and Stage 3 Lyme Disease. Stage 2 Lyme Disease may include meningitis, peripheral neuritis, and atrioventricular nodal block. Stage 3 Lyme Disease may include arthritis, chronic encephalopathy or polyneuropathy.

    Photo and explanation courtesy of: Current Medical Diagnosis & Treatment

    ReplyDelete