Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India

Lyme borreliosis is a multisystem disease transmitted by the bite of vector, Ixodes tick and caused by the strains of spirochete Borrelia burgdorferi sensu lato. The Centers for Disease Control and Prevention has listed it as a reportable disease since 1991. Although the three classical cutaneous ma...

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Main Authors: Vikas Pathania, Sunmeet Sandhu, Deepak Vashisht, Prashant Sengupta
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Medical Journal of Dr. D.Y. Patil Vidyapeeth
Subjects:
Online Access:http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=752;epage=755;aulast=Pathania
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author Vikas Pathania
Sunmeet Sandhu
Deepak Vashisht
Prashant Sengupta
author_facet Vikas Pathania
Sunmeet Sandhu
Deepak Vashisht
Prashant Sengupta
author_sort Vikas Pathania
collection DOAJ
description Lyme borreliosis is a multisystem disease transmitted by the bite of vector, Ixodes tick and caused by the strains of spirochete Borrelia burgdorferi sensu lato. The Centers for Disease Control and Prevention has listed it as a reportable disease since 1991. Although the three classical cutaneous manifestations are primary erythema migrans, borrelial lymphocytoma, and acrodermatitis chronica atrophicans, secondary disseminated erythema migrans is a rare presentation. Reported atypical erythema chronicum migrans (ECM) lesions include vesicles, erythematous papules, purpura, and lymphangitic streaks. We report a case of a female patient who was clinically, serologically, and histopathologically diagnosed as a case of Lyme disease (LD) with disseminated secondary erythema migrans with atypical edematous lesions. Only four confirmed cases of ECM have been reported in India before this report. The case highlights this atypical and rare presentation of LD in India.
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spelling doaj.art-4e707544bd3a4743b8cf064abfee95be2022-12-22T02:49:42ZengWolters Kluwer Medknow PublicationsMedical Journal of Dr. D.Y. Patil Vidyapeeth2589-83022589-83102022-01-0115575275510.4103/mjdrdypu.mjdrdypu_484_20Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in IndiaVikas PathaniaSunmeet SandhuDeepak VashishtPrashant SenguptaLyme borreliosis is a multisystem disease transmitted by the bite of vector, Ixodes tick and caused by the strains of spirochete Borrelia burgdorferi sensu lato. The Centers for Disease Control and Prevention has listed it as a reportable disease since 1991. Although the three classical cutaneous manifestations are primary erythema migrans, borrelial lymphocytoma, and acrodermatitis chronica atrophicans, secondary disseminated erythema migrans is a rare presentation. Reported atypical erythema chronicum migrans (ECM) lesions include vesicles, erythematous papules, purpura, and lymphangitic streaks. We report a case of a female patient who was clinically, serologically, and histopathologically diagnosed as a case of Lyme disease (LD) with disseminated secondary erythema migrans with atypical edematous lesions. Only four confirmed cases of ECM have been reported in India before this report. The case highlights this atypical and rare presentation of LD in India.http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=752;epage=755;aulast=Pathaniaborreliadoxycyclineerythema chronicum migransixodeslyme disease
spellingShingle Vikas Pathania
Sunmeet Sandhu
Deepak Vashisht
Prashant Sengupta
Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India
Medical Journal of Dr. D.Y. Patil Vidyapeeth
borrelia
doxycycline
erythema chronicum migrans
ixodes
lyme disease
title Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India
title_full Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India
title_fullStr Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India
title_full_unstemmed Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India
title_short Disseminated secondary erythema migrans: Typical and atypical presentation of a rare disease in India
title_sort disseminated secondary erythema migrans typical and atypical presentation of a rare disease in india
topic borrelia
doxycycline
erythema chronicum migrans
ixodes
lyme disease
url http://www.mjdrdypv.org/article.asp?issn=2589-8302;year=2022;volume=15;issue=5;spage=752;epage=755;aulast=Pathania
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AT sunmeetsandhu disseminatedsecondaryerythemamigranstypicalandatypicalpresentationofararediseaseinindia
AT deepakvashisht disseminatedsecondaryerythemamigranstypicalandatypicalpresentationofararediseaseinindia
AT prashantsengupta disseminatedsecondaryerythemamigranstypicalandatypicalpresentationofararediseaseinindia