Part 2: Experts give tips on tick-borne illnesses
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Through his highly graphic slides, Dr. Dempsey sought to reassure the audience that “not every insect bite is a tick bite and not every tick bite carries disease.”
A tick bite rash usually doesn’t hurt, it is not that itchy, the area tends to be warm and the bite site gets progressively larger. “If the rash lasts more than two or three days and is larger than a silver dollar, then it could be a tick,” he said. While the bull’s eye rash is believed to be the hallmark of Lyme, Dr. Dempsey was quick to point out with slides that there is a wide range of rash-like manifestations.
“We don’t see a lot of classic bull’s eye, but splotches and blotches, some faint, some dramatic. There is a new theory emerging that says that different strains are producing different rashes which can certainly complicate the diagnosis.” Again, he emphasized that the thing to be aware of is a rash that changes and enlarges over time.

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