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학습 자료 둘러보기 →The hallmark of early localized Lyme disease is erythema migrans, developing 7 to 14 days after a tick bite. Perform a thorough skin assessment, looking for an expanding red rash with central clearing at the bite site.
The rash is typically warm to the touch but nontender and nonpruritic. Its presence in an endemic area is clinically diagnostic, and treatment should not be delayed for serologic testing.
Do not dismiss a rash that lacks the classic bull's-eye appearance; erythema migrans can present as a uniformly red or target-like lesion. Early recognition and antibiotic therapy prevent progression to disseminated or late-stage complications.
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