Erythema chronicum migrans
The Erythema migrans (Erythema chronicum migrans) is the characteristic presenting Symptom of the disease in the first stage. Erythema is an inflammatory redness and Erythema migrans, a so-called “wall of dawn”. This skin appearance must occur after a tick bite, however, is mandatory. Days to weeks after the bite may form around the puncture an area of skin redness, the circle is spreading slowly shaped.
This Erythema migrans does not (only) to the Stitch, but can also occur in other skin areas. This also makes it to the “wall of dawn”. This is driven by the Borrelia bacteria, which migrate through the skin. The skin reaction can sometimes take a tremendous amount, but also spontaneously without discomfort to heal.
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The Wall Redness
The wall redness, Erythema migrans, develops in approximately 10 to 30 days after infection. The slight redness that forms in some cases, directly to the trick around, and usually with a solid itching is connected, usually heals after about ten days, and has nothing to do with the wall flush. This develops after that. It is bounded oval to circular in shape and spreads from the stitch starting more and more to the outside, and can grow up to a diameter of about 60 centimeters.
In the course of the erythema from blasst in the middle, more and more, resulting in a ring-like structure is developed. Only then, if the tick was infected with Lyme disease pathogens also occurs an Erythema migrans. This may, however, lack as mentioned above, even in spite of infection.
The skin reaction disappears without treatment usually after about ten weeks. The three stages identified Lyme disease, but can also be accompanied the whole time by the Erythema migrans. So it may be a plurality of, for example, in the second stage – of the bite body that is independent of point – Set as a skin rash. This is the case, if the pathogen has already been spread via the bloodstream. But it is also possible that the erythema is not discovered, as described above, no show or early re-heal. But it is not a sign that Lyme’s disease is or is healed.
Together with the Occurrence of Erythema migrans, a so-called lymphadenosis cutis benigna (Synonym: Borrelia-Lymphocytoma; nodules-shaped, blue-red swelling of the skin). Of these, especially the earlobes are infected, the Nipples (nipples) or the scrotal region (the area of the testis). This disease can also be associated with viral infections. In children, the wall shows redness often features. It occurs mainly in the head-neck area and face with uncharacteristic redness. Furthermore, it is possible that the Erythema migrans “scatters” and, therefore, in different parts of the body.
In addition to the redness of the skin stage of a disease, additional symptoms are in the morning. This pain is flu-like symptoms such as body aches, headache, General feeling of weakness, muscle, lymph node swelling, Nausea, conjunctivitis, and fever.
Borrelia can cause a variety of infectious diseases. For example, the relapsing fever is transmitted by Borrelia bacteria. However, if Lyme disease is meant to be the Lyme disease. This is the most common. The responsible for disease, Borrelia burgdorferi is transmitted by a tick bite. The symptoms differ from person to person. What directs in any case, the suspicion of Lyme disease is the Erythema migrans.
Going to the doctor
After a tick bite, the body should be observed. An Erythema occurs migrans, is a Must the visit to the doctor. But also a long-standing redness of the skin, to a tick bite to remember, should be clarified. Rapid tests are not recommended. Therefore, a medical examination is necessary. In the case of suspected Lyme disease is immediately prescribed an antibiotic. A blood test is in the early stage is not necessary, since at that time no pathogen.
The differential diagnosis
The differential diagnosis can be separated from the Erythema migrans the following diseases. Other insect bites can may be a skin reaction, reminiscent of a wall of redness. An important differential diagnosis Tinea corporis. This is a fungal disease, which is manifested by flaking and itching.
Also drug eruptions must be distinguished from Erythema migrans.These are usually acute and therefore, in the context of a detailed medical history from the skin manifestations associated with Lyme disease to distinguish. The erysipelas is to be included in the differential diagnosis. The erysipelas, erysipelas is an acute infection of the skin, triggered by invading streptococci. Leading symptoms are erythema a shiny, painful, fiery red, accompanied by a General feeling of illness, fever, and chills.
What should likewise be excluded, the Erythema anulare centrifugum. This acute skin disease with unclear cause is shown ring-shaped, red, edge, stressed, and slightly scaly. The face is affected, Ringel rubella are excluded. The pathogen, the Parvovirus B19. Most often disease, also called fifth disease, school-aged children are affected by this infection. The skin’s appearance, the appearance is called Erythema infectiosum.
Protection against ticks
To get no Erythema migrans, is a sufficient tick protection is required. A vaccination protects to get TBE (early summer meningoencephalitis), but not a disease. It is best, however, to be not only razor. Note the following:
Anyone who is outdoors should wear long pants and long sleeve tops that are closed at the cuffs. The socks are pulled over the pant legs. The head is covered with a hat. In the tall Grass, in hedges and in undergrowth, the risk is greater, since there ticks stop. Accordingly, these areas are to be avoided at best. Rubber boots make it difficult for ticks access to the skin. Light-colored clothes should be preferred, since the ticks can be detected faster. The skin that is not covered, is coated with a suitable insect repellent. The pharmacy provides a wide range of products.
After each excursion in the nature will be searched to the best of the whole body for ticks, especially the head and neck. Has bite, in spite of all the precautions a tick is removed as quickly as possible. The pathogen requires about twelve hours, into the human organism. Just when a trip goes on in so-called risk areas, it is recommended by the Doctors on a TBE-vaccination.
The Erythema migrans can of course also arise in the case of Lyme disease when it is transmitted by other insects as the tick. Here, lice, mosquitoes and horseflies come out of the question, what are the infection vectors, however, are rather rare.
For those who prefer a natural defense, may apply the following methods and try it out. Every person responds differently to natural supplements. From the aroma therapy essential Oils such as rosemary (please do not apply in the case of high blood pressure), to recommend tea tree, lemon balm, juniper, Grapefruit, lavender, carnation and myrrh. Put together your self a mixture.
Use a good, cold-pressed carrier oil such as almond oil, and quality essential Oils. 20 milliliters of carrier oil is mixed with four drops of essential Oil. RUB you the Pulse, the neck and the back of the neck. Try this but only with a drop in the crook of the arm. You have an allergic reaction, this type of prevention is not for you.
You can fill the finished Oil in a so-called Roll-on vial. So this is to apply on the go easily. These small vials are available in natural cosmetics shops or available online. A further possibility is to RUB in with coconut oil. This can be largely all over the body. By the way, retains the bite of dogs from pesky Ticks, respectively, reduces the attacks of these blood suckers.
What can also help is the oil of black cumin. The smell, the ticks don’t like. You RUB it, you can do this by taking a high-quality black cumin oil, in capsule form available. This enhances the effect. By the way, the black cumin oil, oral applied is a good way to protect against allergies.
Another smell that the ticks do not like at all, is garlic. So a proper hearty meal with a lot of garlic before the walk also contributes to the prevention.
An important tip from the Naturopathy
Thus, no Erythema migrans developed, should be considered, as already mentioned, the tick as quickly as possible. After that, the homeopathic remedy Ledum is in demand, both internally and externally. A few Globules to be mixed with some boiled water several times a day to the injection site swabbed. Has already formed in the wall of dawn, are taking and also the external application of Ledum still worth a try. (sw)