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Case Reports
. 2010 Oct;16(10):1615-7.
doi: 10.3201/eid1610.100587.

Erythema migrans-like illness among Caribbean islanders

Anu Sharma  1 , Sarada Jaimungal, Khamedaye Basdeo-Maharaj, A V Chalapathi Rao, Surujpaul Teelucksingh
Affiliations
Case Reports

Erythema migrans-like illness among Caribbean islanders

Anu Sharma et al. Emerg Infect Dis. 2010 Oct.

Abstract

Erythema migrans is the skin manifestation of Lyme disease and southern tick-associated rash illness. Neither disease is found in the Caribbean. We report 4 cases of erythema migrans of a possible emerging clinical entity, Caribbean erythma migrans-like illness.

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Figures

Figure 1
Figure 1
Erythema migrans–like rash on the left leg of a 28-year-old patient. A) Characteristic rash of erythema migrans (annular macular lesion that is erythematous with central clearing). B) Spread of the lesions to the rest of the leg.
Figure 2
Figure 2
Histologic analysis of a skin biopsy specimen of a 28-year-old patient with erythema migrans, showing characteristics of erythema migrans. The epidermis shows parakeratosis, microvesicle formation, lichenoid interface, dermal edema, and perivascular chronic inflammatory cell infiltrates. Original magnification ×20 (A) and ×40 (B).
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