[Skip to Content]
Access to paid content on this site is currently suspended due to excessive activity being detected from your IP address Please contact the publisher to request reinstatement.
[Skip to Content Landing]
Citations 0
September 12, 2007

Diagnosis of Erythema Migrans—Reply

Author Affiliations

Letters Section Editor: Robert M. Golub, MD, Senior Editor.

JAMA. 2007;298(10):1159-1160. doi:10.1001/jama.298.10.1160-a

In Reply: We agree with Dr Norton that many patients with erythema migrans are asymptomatic and that when pruritis or local discomfort does occur, these symptoms are typically mild. Nevertheless, pruritis was reported in approximately 33% of North American (Lyme-endemic) cases, 42% of nonendemic North American cases, and 38% of European cases in the case series we reviewed in our article.

As Norton states, the information in Table 2 regarding granuloma annulare was erroneous. Granuloma annulare does not tend to scale.1