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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2022-01-01
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Series: | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
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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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format | Article |
id | doaj.art-4e707544bd3a4743b8cf064abfee95be |
institution | Directory Open Access Journal |
issn | 2589-8302 2589-8310 |
language | English |
last_indexed | 2024-04-13T10:48:58Z |
publishDate | 2022-01-01 |
publisher | Wolters Kluwer Medknow Publications |
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series | Medical Journal of Dr. D.Y. Patil Vidyapeeth |
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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