title: Lyme disease update for the general dermatologist.
abstract: Lyme disease is an Ixodes tick-borne illness that may arise from different species of the Borrelia spirochete and may be propagated in various hosts. Humans are considered dead-end hosts in this propagation cycle but may have a range of Lyme disease characteristics as a result of borrelial infection. Lyme disease has varied cutaneous manifestations, and the approach to diagnosis and treatment is based on the patient, the region, and suspected coinfection with another tick-borne illness. An understanding of the distribution of the Ixodes tick, its vectors, and the most likely dermatologic presentation based on these factors allows the dermatologist to make appropriate testing and treatment recommendations. Our aim is to simplify this approach for the treating practitioner.
authors.affiliation: Department of Dermatology, Mayo Clinic, 200 First St SW, Rochester, MN, 55905, USA.
authors.forename: Desiree A
authors.initials: DA
authors.lastname: Godar
authors.forename: Valerie
authors.initials: V
authors.lastname: Laniosz
authors.forename: David A
authors.initials: DA
authors.lastname: Wetter
mesh_terms: D000818:Animals; D001898:Borrelia / Q000302:isolation & purification*; D006801:Humans; D018884:Ixodes / Q000382:microbiology; D008193:Lyme Disease / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D017192:Skin Diseases, Bacterial / Q000175:diagnosis* / Q000382:microbiology / Q000628:therapy