Erythema chronicum migrans

What is Erythema chronicum migrans?

Erythema chronicum migrans (New Latin, literally, "chronic migrating redness") refers to the rash often (though not always) seen in the early stage of Lyme disease. It can appear anywhere from one day to one month after a tick bite. This rash does not represent an allergic reaction to the bite, but rather an actual skin infection with the Lyme bacteria, ''Borrelia burgdorferi sensu lato''. "Erythema migrans is the only manifestation of Lyme disease in the United States that is sufficiently distinctive to allow clinical diagnosis in the absence of laboratory confirmation.". It is a pathognomonic sign: a physician-identified rash warrants an instant diagnosis of Lyme disease and immediate treatment without further testing, even by the strict criteria of the Centers for Disease Control and Prevention. These rashes are characteristic of Borrelia infections and no other pathogens are known that cause this form of rash.

A similar condition called Southern Tick Associated Rash Illness (STARI) produces a similar rash pattern although it develops more quickly and is smaller. The associated infectious agent has not been determined. Antibiotic treatment resolves the illness quickly.

This erythema is also sometimes called erythema migrans or EM. However, a less common meaning of the term "erythema migrans" is a mucosal condition of the tongue, also called geographic tongue.

Questions and answers on "Erythema chronicum migrans"

I have purple rash on my chest and back
Used to to white blotches now turned purple /It looks like XXXXXXX from a teeshirt but is not. On chest...

doctor1 MD

Hi
Thanks for your query.

From your description of the skin rash, it looks like you have developed either some eczematous skin condition or an...

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Hello,

I have some enlarged papillae toward the back of my tongue. I had a lot of citrus intake and thought it may have been caused from that, but...

doctor1 MD

Hello and thank you for your question.
People have many different types of papillae on their tongues. In the back of your tongue you have a row of...

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I have this painful inflamed spot ony foot and im not sure what it could be from. It never blistered, so im confused as to what it is! Its red...

doctor1 MD

Brief Answer:
It is a bite

Detailed Answer:
Hi

Thanks for the picture and query.

It looks like a bite from mosquito or tick. IF it is enlarging it...

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Recent questions on  Erythema chronicum migrans

doctor1 MD

I have this painful inflamed spot ony foot and im not sure what it could be from. It never blistered, so im confused as to what it is! Its red...

doctor1 MD

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doctor1 MD

How long does it take for Lyme s Disease bulls eye rashes to disappear? Is it common for a rash to reappear in the same vicinity as a faded one? Do...

doctor1 MD

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