Case of the Month
A 73-year-old man (physician) presented with a small cluster of very pruritic vesicles on his right clavicular area. He reported that he had been working in his wooded yard and garden over the weekend. I made the initial diagnosis of allergic contact dermatitis. He came back to clinic 4 days later after developing this very large red, round patch.
What's Your Diagnosis?
Diagnosis: Lyme Disease
Testing revealed a positive Lyme’s test. He was started on Doxycycline, 100mg, BID for 21 days. He called 7 days later to report 90% resolution.
Reference:
Lyme Disease. VisualDx.com
For more dermatology cases-of-the-month visit Dr. Crutchfield's Case of the Month Archive
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Crutchfield Dermatology
1185 Town Centre Drive, Suite 101
Eagan, MN 55123 USA
Phone: (651) 209-3600 Fax: (651) 209-3601
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