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URLhttps://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html
Last Crawled2026-03-21 12:28:11 (27 days ago)
First Indexed2024-05-22 18:44:40 (1 year ago)
HTTP Status Code200
Meta TitleLyme Disease Rashes | Lyme Disease | CDC
Meta DescriptionLyme disease rashes can look different on different people. Learn about what they look like.
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Erythema migrans rash is a common symptom that occurs in over 70 percent of people with Lyme disease. Erythema migrans rashes have certain characteristics that help differentiate them from other types of skin lesions. Review the images below to learn what erythema migrans rashes look like versus other skin conditions. Erythema migrans rashes “Bull's-eye” or target lesion Circular, expanding rash with target-like appearance. Expanding rash with central crust Expanding lesion with central crust on chest. Photo credit: Bernard Cohen Expanding erythema migrans Early, expanding erythema migrans with nodule. Photo credit: Reprinted from Bhate C, Schwartz RA. Lyme disease: Part I. Advances and perspectives. J Am Acad Dermatol 2011;64:619-36, with permission from Elsevier. Multiple rashes, disseminated infection Early disseminated Lyme disease; multiple lesions with dusky centers. Photo credit: Bernard Cohen Red, oval plaque Red, expanding oval-shaped plaque on trunk. Photo credit: Alison Young Expanding rash with central clearing Circular, expanding rash with central clearing. Photo credit: Taryn Holman Bluish hued rash, no central clearing Bluish hued without central clearing. Photo credit: Yevgeniy Balagula Expanding lesion, no central clearing Expanding lesion without central clearing on back of knee. Photo credit: Gary Wormser Red blue lesion with central clearing Red-blue lesion with some central clearing on back of knee. Photo credit: Robin Stevenson Skin conditions that are NOT erythema migrans Insect bite hyper-sensitivity Large itchy rash caused by an allergic reaction to an insect bite. Photo Credit: Chris Ha Fixed drug reaction A skin condition that occurs up to two weeks after a person takes a medication. The condition reappears at the same location everytime a person takes that particular medication. Photo credit: Shahbaz A. Janjua Ringworm (tinea corporis) Ringworm is a common skin infection that is caused by a fungus. It's called "ringworm" because it can cause a ring-shaped rash that is usually red and itchy with raised edges. Photo credit: Bernard Cohen Pityriasis rosea rash A rash without a known cause that can be a round or oval, pink, and scaly with a raised border. It can sometimes itch. Larger patches than the one shown here are also common. Photo credit: Bernard Cohen Granuloma annulare rash Reddish bumps on the skin arranged in a circle or ring. Photo credit: Bernard Cohen Urticaria multiforme Also known as hives. Often caused by an allergic reaction to food, an infection, or a medicine. May burn or itch. Photo credit: Bernard Cohen May 15, 2024
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[Skip directly to site content](https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html#content) [Skip directly to search](https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html#cdc-search__input) ![](https://www.cdc.gov/TemplatePackage/5.0/img/uswds/us_flag_small.png) An official website of the United States government [Here's how you know](https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html#gov-notice) ![](https://www.cdc.gov/TemplatePackage/5.0/img/uswds/icon-dot-gov.svg) **Official websites use .gov** A **.gov** website belongs to an official government organization in the United States. ![](https://www.cdc.gov/TemplatePackage/5.0/img/uswds/icon-https.svg) **Secure .gov websites use HTTPS** A **lock** ( ) or **https://** means you've safely connected to the .gov website. Share sensitive information only on official, secure websites. [![Centers for Disease Control and Prevention. CDC twenty four seven. Saving Lives, Protecting People](https://www.cdc.gov/TemplatePackage/5.0/img/logo/logo-notext.svg)](https://www.cdc.gov/) [Lyme Disease](https://www.cdc.gov/lyme/index.html) Explore This Topic [For Everyone](https://www.cdc.gov/lyme/index.html) - [About](https://www.cdc.gov/lyme/about/index.html) - [Signs and Symptoms](https://www.cdc.gov/lyme/signs-symptoms/index.html) - [How It Spreads](https://www.cdc.gov/lyme/causes/index.html) - [Testing and Diagnosis](https://www.cdc.gov/lyme/diagnosis-testing/index.html) - [Treatment](https://www.cdc.gov/lyme/treatment/index.html) - [Surveillance and Data](https://www.cdc.gov/lyme/data-research/facts-stats/index.html) - [Educational Materials](https://www.cdc.gov/lyme/communication-resources/index.html) - [Featured Story](https://www.cdc.gov/lyme/stories/index.html) - [View all](https://www.cdc.gov/lyme/site.html#gen) [Health Care Providers](https://www.cdc.gov/lyme/site.html#hcp) - [Clinical Testing and Diagnosis](https://www.cdc.gov/lyme/hcp/diagnosis-testing/index.html) - [Clinical Care and Treatment](https://www.cdc.gov/lyme/hcp/clinical-care/index.html) - [Continuing Education](https://www.cdc.gov/lyme/hcp/training/index.html) - [Clinical Resources](https://www.cdc.gov/lyme/hcp/communication-resources/index.html) - [View all](https://www.cdc.gov/lyme/site.html#hcp) **Related Topics:** [Ticks](https://www.cdc.gov/ticks/index.html) \| [Vector-Borne Diseases](https://www.cdc.gov/vector-borne-diseases/index.html) [Home](https://www.cdc.gov/lyme/index.html) [![Centers for Disease Control and Prevention. CDC twenty four seven. 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Diagnosis](https://www.cdc.gov/lyme/hcp/diagnosis-testing/index.html) - [Clinical Care and Treatment](https://www.cdc.gov/lyme/hcp/clinical-care/index.html) - [Continuing Education](https://www.cdc.gov/lyme/hcp/training/index.html) - [Clinical Resources](https://www.cdc.gov/lyme/hcp/communication-resources/index.html) - [View All](https://www.cdc.gov/lyme/site.html#hcp) Related Topics - [Ticks](https://www.cdc.gov/ticks/index.html) - [Vector-Borne Diseases](https://www.cdc.gov/vector-borne-diseases/index.html) [Lyme Disease](https://www.cdc.gov/lyme/index.html) [About](https://www.cdc.gov/lyme/about/index.html) [Signs and Symptoms](https://www.cdc.gov/lyme/signs-symptoms/index.html) [How It Spreads](https://www.cdc.gov/lyme/causes/index.html) [Testing and Diagnosis](https://www.cdc.gov/lyme/diagnosis-testing/index.html) [Treatment](https://www.cdc.gov/lyme/treatment/index.html) [Surveillance and Data](https://www.cdc.gov/lyme/data-research/facts-stats/index.html) [Educational 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) May 15, 2024 For Everyone # Lyme Disease Rashes ## Key points Erythema migrans rash is a common symptom that occurs in over 70 percent of people with Lyme disease. Erythema migrans rashes have certain characteristics that help differentiate them from other types of skin lesions. Review the images below to learn what erythema migrans rashes look like versus other skin conditions. ![Illustration of different forms of erythema migrans on dark skin and light skin.](https://www.cdc.gov/lyme/media/images/EM-rashes.jpg) ## Erythema migrans rashes ### Resources‎ [The Many Forms of Lyme Disease Rashes (Erythema Migrans) \[PDF – 1 page\]](https://www.cdc.gov/lyme/resources/NCEZID_rash_poster3r1-508.pdf) [Signs and Symptoms of Lyme Disease - Social Media Graphic](https://www.cdc.gov/lyme/media/images/2024/06/348680-A-TickBitePrevention_Edits_2.jpg) ### “Bull's-eye” or target lesion ![Close-up image of a circular, reddish, skin rash.](https://www.cdc.gov/lyme/media/images/Classic-Lyme-Disease-Rash.jpg) Circular, expanding rash with target-like appearance. ### Expanding rash with central crust ![Close up image of a red rash on the skin with hair next to it.](https://www.cdc.gov/lyme/media/images/Expanding-rash-with-central-crust.jpg) Expanding lesion with central crust on chest. Photo credit: Bernard Cohen ### Expanding erythema migrans ![Close up image of a small, light, circular rash on dark skin.](https://www.cdc.gov/lyme/media/images/Expanding-erythema-migrans.jpg) Early, expanding erythema migrans with nodule. Photo credit: Reprinted from Bhate C, Schwartz RA. Lyme disease: Part I. Advances and perspectives. *J Am Acad Dermatol* 2011;64:619-36, with permission from Elsevier. ### Multiple rashes, disseminated infection ![Close up image of a human's back, with multiple red rashes in the shape of ovals across their lower back.](https://www.cdc.gov/lyme/media/images/Multiple-rashes-disseminated-infection.jpg) Early disseminated Lyme disease; multiple lesions with dusky centers. Photo credit: Bernard Cohen ### Red, oval plaque ![Close up image of someone's skin with a large red flush in the skin next to sparse hair.](https://www.cdc.gov/lyme/media/images/Red-oval-plaque.jpg) Red, expanding oval-shaped plaque on trunk. Photo credit: Alison Young ### Expanding rash with central clearing ![Image of a human's limb with a red circular ring flushed in the skin.](https://www.cdc.gov/lyme/media/images/Expanding-rash-with-central-clearing.jpg) Circular, expanding rash with central clearing. Photo credit: Taryn Holman ### Bluish hued rash, no central clearing ![Close up image of a human's skin with a large red and blue colored rash and raised texture in the center.](https://www.cdc.gov/lyme/media/images/Bluish-hued-rash-no-central-clearing.jpg) Bluish hued without central clearing. Photo credit: Yevgeniy Balagula ### Expanding lesion, no central clearing ![Image of a black person's back of knee showing a light colored circular rash taking up the majority of the back of the calf.](https://www.cdc.gov/lyme/media/images/Expanding-lesion-no-central-clearing.jpg) Expanding lesion without central clearing on back of knee. Photo credit: Gary Wormser ### Red blue lesion with central clearing ![Close up image of a person's back of knees, with a purple hued rash developing on the back of the right knee.](https://www.cdc.gov/lyme/media/images/Red-blue-lesion-with-central-clearing.jpg) Red-blue lesion with some central clearing on back of knee. Photo credit: Robin Stevenson ## Skin conditions that are NOT erythema migrans ### Insect bite hyper-sensitivity ![Close up image of a person's light-colored skin with a red circular-shaped flush spreading across the skin.](https://www.cdc.gov/lyme/media/images/Insect-Bite-hyper-sensitivity.jpg) Large itchy rash caused by an allergic reaction to an insect bite. Photo Credit: Chris Ha ### Fixed drug reaction ![Close up image of a person's limb with a dark hyperpigmented circular shape appearing right next to a growth of hair.](https://www.cdc.gov/lyme/media/images/Fixed-drug-reaction.jpg) A skin condition that occurs up to two weeks after a person takes a medication. The condition reappears at the same location everytime a person takes that particular medication. Photo credit: Shahbaz A. Janjua ### Ringworm (tinea corporis) ![Close up image of a person's torso from the side, with multiple raised, redish skin lesions in circular shapes going down their side.](https://www.cdc.gov/lyme/media/images/Ringworm-tinea-corpis.jpg) Ringworm is a common skin infection that is caused by a fungus. It's called "ringworm" because it can cause a ring-shaped rash that is usually red and itchy with raised edges. Photo credit: Bernard Cohen ### Pityriasis rosea rash ![Image of a person's torso with small, raised, reddish-brownish rashes spotted throughout their entire stomach surface.](https://www.cdc.gov/lyme/media/images/Pityriasis-rosea-rash.jpg) A rash without a known cause that can be a round or oval, pink, and scaly with a raised border. It can sometimes itch. Larger patches than the one shown here are also common. Photo credit: Bernard Cohen ### Granuloma annulare rash ![Image of a person's legs taken from the top. They have multiple circular rashes sparsely](https://www.cdc.gov/lyme/media/images/Granuloma-annulare-rash.jpg) Reddish bumps on the skin arranged in a circle or ring. Photo credit: Bernard Cohen ### Urticaria multiforme ![Close up image of a white infant's chest and arms. They have multiple defined spots of red color flushed in their skin.](https://www.cdc.gov/lyme/media/images/Urticaria-multiforme.jpg) Also known as hives. Often caused by an allergic reaction to food, an infection, or a medicine. May burn or itch. Photo credit: Bernard Cohen ## Related Pages - [Signs and Symptoms](https://www.cdc.gov/lyme/signs-symptoms/index.html) - [Chronic symptoms and Lyme disease](https://www.cdc.gov/lyme/signs-symptoms/chronic-symptoms-and-lyme-disease.html) - [About](https://www.cdc.gov/lyme/about/index.html) - [How It Spreads](https://www.cdc.gov/lyme/causes/index.html) - [Testing and Diagnosis](https://www.cdc.gov/lyme/diagnosis-testing/index.html) [View All Lyme Disease](https://www.cdc.gov/lyme/site.html#gen) [Chronic symptoms and Lyme disease](https://www.cdc.gov/lyme/signs-symptoms/chronic-symptoms-and-lyme-disease.html) May 15, 2024 [Sources](https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html#content-sources) [Print](https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html#print) [Share](https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html#share) [Facebook](https://www.facebook.com/sharer/sharer.php?u=https%3A%2F%2Fwww.cdc.gov%2Flyme%2Fsigns-symptoms%2Flyme-disease-rashes.html "Share to Facebook") [LinkedIn](https://www.linkedin.com/shareArticle?url=https%3A%2F%2Fwww.cdc.gov%2Flyme%2Fsigns-symptoms%2Flyme-disease-rashes.html&title=Lyme%20Disease%20Rashes "Share to LinkedIn") [Twitter](http://twitter.com/share?url=https%3A%2F%2Fwww.cdc.gov%2Flyme%2Fsigns-symptoms%2Flyme-disease-rashes.html&text=Lyme%20Disease%20Rashes "Share to Twitter") [Syndicate](https://tools.cdc.gov/medialibrary/index.aspx#/sharecontent/https://https://www.cdc.gov/lyme/signs-symptoms/lyme-disease-rashes.html "Embed this Page") Content Source: [National Center for Emerging and Zoonotic Infectious Diseases (NCEZID)](https://www.cdc.gov/ncezid) ## Related Pages - [Signs and Symptoms](https://www.cdc.gov/lyme/signs-symptoms/index.html) - [Chronic symptoms and Lyme disease](https://www.cdc.gov/lyme/signs-symptoms/chronic-symptoms-and-lyme-disease.html) - [About](https://www.cdc.gov/lyme/about/index.html) - [How It Spreads](https://www.cdc.gov/lyme/causes/index.html) - [Testing and Diagnosis](https://www.cdc.gov/lyme/diagnosis-testing/index.html) [View All Lyme Disease](https://www.cdc.gov/lyme/site.html#gen) Back to Top ## [Lyme Disease](https://www.cdc.gov/lyme/index.html) Lyme disease is caused by *Borrelia* bacteria spread to people by the bite of an infected blacklegged tick. 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Readable Markdown
Erythema migrans rash is a common symptom that occurs in over 70 percent of people with Lyme disease. Erythema migrans rashes have certain characteristics that help differentiate them from other types of skin lesions. Review the images below to learn what erythema migrans rashes look like versus other skin conditions. ![Illustration of different forms of erythema migrans on dark skin and light skin.](https://www.cdc.gov/lyme/media/images/EM-rashes.jpg) ## Erythema migrans rashes ### “Bull's-eye” or target lesion ![Close-up image of a circular, reddish, skin rash.](https://www.cdc.gov/lyme/media/images/Classic-Lyme-Disease-Rash.jpg) Circular, expanding rash with target-like appearance. ### Expanding rash with central crust ![Close up image of a red rash on the skin with hair next to it.](https://www.cdc.gov/lyme/media/images/Expanding-rash-with-central-crust.jpg) Expanding lesion with central crust on chest. Photo credit: Bernard Cohen ### Expanding erythema migrans ![Close up image of a small, light, circular rash on dark skin.](https://www.cdc.gov/lyme/media/images/Expanding-erythema-migrans.jpg) Early, expanding erythema migrans with nodule. Photo credit: Reprinted from Bhate C, Schwartz RA. Lyme disease: Part I. Advances and perspectives. *J Am Acad Dermatol* 2011;64:619-36, with permission from Elsevier. ### Multiple rashes, disseminated infection ![Close up image of a human's back, with multiple red rashes in the shape of ovals across their lower back.](https://www.cdc.gov/lyme/media/images/Multiple-rashes-disseminated-infection.jpg) Early disseminated Lyme disease; multiple lesions with dusky centers. Photo credit: Bernard Cohen ### Red, oval plaque ![Close up image of someone's skin with a large red flush in the skin next to sparse hair.](https://www.cdc.gov/lyme/media/images/Red-oval-plaque.jpg) Red, expanding oval-shaped plaque on trunk. Photo credit: Alison Young ### Expanding rash with central clearing ![Image of a human's limb with a red circular ring flushed in the skin.](https://www.cdc.gov/lyme/media/images/Expanding-rash-with-central-clearing.jpg) Circular, expanding rash with central clearing. Photo credit: Taryn Holman ### Bluish hued rash, no central clearing ![Close up image of a human's skin with a large red and blue colored rash and raised texture in the center.](https://www.cdc.gov/lyme/media/images/Bluish-hued-rash-no-central-clearing.jpg) Bluish hued without central clearing. Photo credit: Yevgeniy Balagula ### Expanding lesion, no central clearing ![Image of a black person's back of knee showing a light colored circular rash taking up the majority of the back of the calf.](https://www.cdc.gov/lyme/media/images/Expanding-lesion-no-central-clearing.jpg) Expanding lesion without central clearing on back of knee. Photo credit: Gary Wormser ### Red blue lesion with central clearing ![Close up image of a person's back of knees, with a purple hued rash developing on the back of the right knee.](https://www.cdc.gov/lyme/media/images/Red-blue-lesion-with-central-clearing.jpg) Red-blue lesion with some central clearing on back of knee. Photo credit: Robin Stevenson ## Skin conditions that are NOT erythema migrans ### Insect bite hyper-sensitivity ![Close up image of a person's light-colored skin with a red circular-shaped flush spreading across the skin.](https://www.cdc.gov/lyme/media/images/Insect-Bite-hyper-sensitivity.jpg) Large itchy rash caused by an allergic reaction to an insect bite. Photo Credit: Chris Ha ### Fixed drug reaction ![Close up image of a person's limb with a dark hyperpigmented circular shape appearing right next to a growth of hair.](https://www.cdc.gov/lyme/media/images/Fixed-drug-reaction.jpg) A skin condition that occurs up to two weeks after a person takes a medication. The condition reappears at the same location everytime a person takes that particular medication. Photo credit: Shahbaz A. Janjua ### Ringworm (tinea corporis) ![Close up image of a person's torso from the side, with multiple raised, redish skin lesions in circular shapes going down their side.](https://www.cdc.gov/lyme/media/images/Ringworm-tinea-corpis.jpg) Ringworm is a common skin infection that is caused by a fungus. It's called "ringworm" because it can cause a ring-shaped rash that is usually red and itchy with raised edges. Photo credit: Bernard Cohen ### Pityriasis rosea rash ![Image of a person's torso with small, raised, reddish-brownish rashes spotted throughout their entire stomach surface.](https://www.cdc.gov/lyme/media/images/Pityriasis-rosea-rash.jpg) A rash without a known cause that can be a round or oval, pink, and scaly with a raised border. It can sometimes itch. Larger patches than the one shown here are also common. Photo credit: Bernard Cohen ### Granuloma annulare rash ![Image of a person's legs taken from the top. They have multiple circular rashes sparsely](https://www.cdc.gov/lyme/media/images/Granuloma-annulare-rash.jpg) Reddish bumps on the skin arranged in a circle or ring. Photo credit: Bernard Cohen ### Urticaria multiforme ![Close up image of a white infant's chest and arms. They have multiple defined spots of red color flushed in their skin.](https://www.cdc.gov/lyme/media/images/Urticaria-multiforme.jpg) Also known as hives. Often caused by an allergic reaction to food, an infection, or a medicine. May burn or itch. Photo credit: Bernard Cohen May 15, 2024
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