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Image of a solid Lyme rash on the neck: what does it show?

This published clinical case shows erythema migrans as a solid red lesion on the neck rather than a textbook bullseye.

Reviewed by VuxLore® Knowledge Team For People

Image of a solid Lyme rash on the neck: what does it show?

Short answer

This published clinical case shows erythema migrans as a solid red lesion on the neck rather than a textbook bullseye.

At a glance

A public-domain clinical example showing why Lyme rashes vary in shape and location.

Key takeaways

• Erythema migrans may appear solid rather than ring-shaped

• Rashes can occur in difficult-to-see locations

• Clinical history matters more than matching one photograph

What does this solid Lyme rash image show?

This image from a CDC Emerging Infectious Diseases case report documents erythema migrans on the neck without familiar central clearing.

Why does location matter?

A rash on the neck, scalp or back may be missed. Checking the whole body and recording change with dated photographs can help a clinician assess the history.

Many skin conditions resemble one another, so seek advice for an expanding rash or concerning illness after possible exposure.

Sources and further reading

UK Lyme disease guidance and data

For current UK clinical advice, public-health guidance and surveillance data, consult these primary national sources.

  1. Lyme disease — NHS opens in a new tab ↗
  2. Lyme disease: diagnosis and management (NG95) — NICE opens in a new tab ↗
  3. Lyme disease: management and prevention — UKHSA opens in a new tab ↗
  4. Lyme disease surveillance dashboard — UKHSA opens in a new tab ↗
  5. Lyme disease — NHS Inform Scotland opens in a new tab ↗