Copyright © 2017 American Academy of Pediatrics. From: Lyme Disease American Academy of Pediatrics Textbook of Pediatric Care, 2nd Edition, 2017 Figure Legend: Lyme DiseaseThe rash at the site of a tick bite on the lower leg is indicative of the variation in the initial rash of Lyme disease. Central clearing is incomplete and a central necrotic area is apparent at the presumed site of the tick bite. From AAP Red Book Online. Date of download: 10/20/2017 Copyright © 2017 American Academy of Pediatrics. All rights reserved.