bull’s-eye and nontarget skin lesions of lyme disease an internet survey of identification of erythema migrans莱姆病的靶心,不属预定目标的皮肤损伤识别的游走性红斑的网络调查.pdfVIP

Hindawi Publishing Corporation Dermatology Research and Practice Volume 2012, Article ID 451727, 6 pages doi:10.1155/2012/451727 Research Article Bull’s-Eye and Nontarget Skin Lesions of Lyme Disease: An Internet Survey of Identification of Erythema Migrans John N. Aucott,1 Lauren A. Crowder,2 Victoria Yedlin,2 and Kathleen B. Kortte3 1 Department of Medicine, Johns Hopkins University, 10755 Falls Road, Suite 200, Lutherville, MD 21093, USA 2 Division of Clinical Research, Lyme Disease Research Foundation, 10755 Falls Road, Suite 200, Lutherville, MD 21093, USA 3 Department of Physical Medicine and Rehabilitation, Johns Hopkins University School of Medicine, Phipps 174, 600 North Wolfe Street, Baltimore, MD 21287, USA Correspondence should be addressed to John N. Aucott, jaucott2@ Received 27 June 2012; Accepted 15 August 2012 Academic Editor: Jag Bhawan Copyright © 2012 John N. Aucott et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Introduction. Lyme disease is an emerging worldwide infectious disease with major foci of endemicity in North America and regions of temperate Eurasia. The erythema migrans rash associated with early infection is found in approximately 80% of patients and can have a range of appearances including the classic target bull’s-eye lesion and nontarget appearing lesions. Methods. A survey was designed to assess the ability of the general public to distinguish various appearances of erythema migrans from non-Lyme rashes. Participants were solicited from individuals who visited an educational website about Lyme disease. Results. Of 3,104 people who accessed a rash identification