RT Journal Article SR Electronic T1 Late Diagnosis of Early Disseminated Lyme Disease: Perplexing Symptoms in a Gardener JF The Journal of the American Board of Family Medicine JO J Am Board Fam Med FD American Board of Family Medicine SP 234 OP 236 DO 10.3122/jabfm.2008.03.070196 VO 21 IS 3 A1 Salzman, Brooke E. A1 Stonehouse, Amber A1 Studdiford, James YR 2008 UL http://www.jabfm.org/content/21/3/234.abstract AB The timely diagnosis of early disseminated Lyme disease presenting as multiple secondary erythema migrans lesions is sometimes delayed because this stage is infrequently encountered in a general practice. We report a case of a 60-year-old woman whose initial complaints of an erythematous, “burning” rash and flu-like symptoms led to several laboratory tests with no specific diagnosis. The correct diagnosis was only made after sorting through other possibilities in the differential diagnosis. By reproducing the medical images and reviewing the medical literature, we underscore the importance of including Lyme disease in the list of diagnoses pertaining to diffuse skin rashes in the febrile patient.