Lyme disease is an infection that causes an inflammatory disease affecting the skin, joints, nervous system, and other
organ systems.
Symptoms usually appear within a week of infection but may develop up to 30 days after the tick bite. In some cases, there
are no symptoms at all.
The symptoms of early Lyme disease, called early localized stage, may include a red-ringed bull's-eye rash known
as erythema migrans, which appears either as a solid red expanding rash or blotch, or as a central red spot surrounded by
clear skin that is ringed by an expanding red rash. This rash, which develops in most patients with Lyme disease, usually
appears 1 to 2 weeks after the disease is transmitted and may persist for 3 to 5 weeks. It may be warm to the touch and is
usually not painful or itchy. The bull's-eye rash may be more difficult to see on darker-skinned people. A dark, bruise-like
appearance is more common in those cases. Other symptoms of early localized stage include:
swelling of lymph glands near the tick bite
fatigue
headache
achiness
joint pain
chills
The next stage of Lyme disease, called early disseminated stage, usually appears 2 weeks to 3 months after the tick
bite, and may include:
two or more areas of rash not at the site of the bite
severe headache
severe fatigue
enlarged lymph nodes (glands)
stiffness, especially in the joints and neck
sensitivity to light
facial paralysis (Bell's palsy)
tingling or numbness in the extremities
irregular heart rhythm
fever of 100 to 102 degrees Fahrenheit (37.78 to 38.89 degrees Celsius)
meningitis
The last stage of Lyme disease, late stage, may occur if early disease was not detected or appropriately treated.
Symptoms of late stage can appear any time from weeks to years after an infectious tick bite and include:
arthritis, especially in the knees
cognitive deterioration, seen mainly in adults