title: Southern tick-associated rash illness: erythema migrans is not always Lyme disease.
abstract: Southern tick-associated rash illness (STARI) is a rash occurring after a tick bite. It is a form of erythema migrans, an annular rash with central clearing that is almost identical with the erythema migrans seen in Lyme disease. The etiologic agent is not known but may be a Borrelia species. The tick vector is different in the two diseases. Serious systemic complications are not currently recognized with STARI but treatment with doxycycline is prudent. Differentiating STARI from Lyme disease is discussed.
authors.affiliation: Medical University of South Carolina, Charleston, SC, USA.
authors.forename: Lucas
authors.initials: L
authors.lastname: Blanton
authors.forename: Brad
authors.initials: B
authors.lastname: Keith
authors.forename: Walter
authors.initials: W
authors.lastname: Brzezinski
mesh_terms: D000818:Animals; D019072:Antibiotic Prophylaxis; D025065:Borrelia burgdorferi / Q000276:immunology*; D004318:Doxycycline / Q000627:therapeutic use; D015787:Erythema Chronicum Migrans / Q000175:diagnosis / Q000188:drug therapy / Q000276:immunology*; D005076:Exanthema / Q000209:etiology / Q000276:immunology; D006801:Humans; D007299:Insect Bites and Stings / Q000188:drug therapy / Q000276:immunology*; D008297:Male; D008875:Middle Aged; D012698:Serologic Tests; D015144:Southeastern United States; D013987:Ticks / Q000276:immunology*
chemical_list: D004318:Doxycycline