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Lyme Disease Rashes

Health Library Old Clan Leader · October 4, 2026 · 0 Comment

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“Bull’s-eye” or target lesion

Close-up image of a circular, reddish, skin rash. — 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. — 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. — 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. — 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. — 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. — 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. — 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. — 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. — 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. — 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. — 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. — 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. — 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 — 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. — 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

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Old Clan Leader