Early Disseminated Lyme Disease

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Early Disseminated Lyme Disease Whitney A. Blackwell, MD Mayo Clinic Proceedings Volume 92, Issue 4, Pages 687-688 (April 2017) DOI: 10.1016/j.mayocp.2017.01.007 Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 1 Erythema migrans is a rash seen in up to 80% of Lyme infections. Lesions typically start as a solid circular rash and progress to have a central clearing. In the early localized phase, it generally presents with one lesion, but in the early disseminated phase, multiple lesions can be seen throughout the body. Mayo Clinic Proceedings 2017 92, 687-688DOI: (10.1016/j.mayocp.2017.01.007) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions

Figure 2 Magnetic resonance imaging of the brain shows abnormal enhancement of the bilateral oculomotor nerves (cranial nerve III), right greater than left, beginning at their root entry zone. Lyme disease is one of the few causes of bilateral cranial nerve changes. Mayo Clinic Proceedings 2017 92, 687-688DOI: (10.1016/j.mayocp.2017.01.007) Copyright © 2017 Mayo Foundation for Medical Education and Research Terms and Conditions