Resolved question:
Do I have early Lyme disease? Last night I developed a 1-foot diameter red skin rash in the upper-center of my back. The center is darker. Other symptoms: pain in back at center of rash, and mild headache. I have a picture that I can attach that was taken at 2015-06-30 04:40am (today) ALSO - I understand there may be a new (recent) protocol for Lyme treatment. I hope you will make sure your recommendations for treatment are current. Thank you
Submitted:
4 Days
Category:
Dermatologist
Hi,
Thanks for posting your query at DoctorSpring.com
I have seen the picture attached.
It is due to some insect bite or tick bite. Lyme disease is caused by a bite of infected ixodid tick. Initial manifestations are erythematous lesion at site of tick bite which may grow centrifugally known as erythema migrans. It may be associated with fever, malaise, headache, stiffneck,sore throat, myalgia, abdominal pain vomiting etc. If you live in lyme disease endemic area, then it should be a diffrential in your case. Lyme disease is treatable with oral dose of doxycycline 100 mg twice daily atleast for two weeks. Use a steroid cream at site of red rash to help it subside. I would strongly advise that you meet a dermatologist nearby to rule out Lyme disease as normal insect bite too could present similarly.
Take care
Doctor gave incomplete answer and did not tell me anything I did not already know. And since I waited 20 hours for a response I already had seen a local doctor making this consultation useless.
Thanks for trying, I emailed similar info to support
Hello,
Kindly understand sometimes the replies take longer, and the doctor is willing to answer as many follow-ups as you have. Also, kindly note that the expanded medical history was added later, so it was missed and not forwarded to the specialist.
Since you live in a tick endemic area, the doctor mentioned this is definitely a differential diagnosis.
The treatment has also been mentioned, and you do not need 200 mg of Doxycycline.
I request you to post follow-ups if you wish too. It will be answered quickly. I can assure you the follow-up replies will not take time, and we will allow as many follow-ups as you have till you're satisfied.
Regards.