Erythema migrans with secondary lymphangitis in a non-endemic area.

Abstract

The early diagnosis of Lyme disease is more difficult to suspect in non-endemic areas such as Southern Italy. Erythema migrans, which constitutes its primary manifestation, is not always typical and, even when it is typical, i.e. when it has the classic annular shape with central resolution, it can be confused with non-infectious lesions due to hypersensitivity to arthropods. An atypical case with secondary lymphangitis in a 7-year-old girl of the Southern Italy was described.