The Challenge of ‘Chronic Lyme’
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The Challenge of ‘Chronic Lyme’
July 25, 2018
Bridgeman Images
Nicolas Poussin: Et in Arcadia Ego (Arcadian Shepherds), 1637–1638
From the moment I saw the chief complaint—“target-shaped rash”—pop up on my clinic schedule, I had expected this conversation would be difficult. A sweet three-year-old girl was sitting in her Little Mermaid underwear on my exam table, finding turtles in an I Spy book while her mother and I talked. I had checked the rash on the kid’s leg. It was target-shaped, but small—about a centimeter across.
“Did you see a tick or a bug on her skin?” I asked her mother.
“No,” she said. “But she wears shorts, and she runs in the grass. She plays outside all day.”
“That sounds like a wonderful childhood,” I said. “Has the rash been bothering her? Itching or hurting?”
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