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Related Experiment Videos

Erythema migrans: an unusual presentation

V S Lucas1, S J Challacombe, P R Morgan

  • 1Department of Oral Medicine and Pathology, United Medical School, Guy's Hospital, London.

British Dental Journal
|October 9, 1993
PubMed
Summary

This case study describes erythema migrans, a Lyme disease symptom, appearing on the gums and lips. Notably, the tongue, a common site, was unaffected in this patient.

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Area of Science:

  • Oral Medicine
  • Dermatology
  • Infectious Diseases

Background:

  • Erythema migrans is the characteristic rash of Lyme disease, typically appearing as a 'bull's-eye' lesion.
  • Oral manifestations of Lyme disease are uncommon, with the tongue being the most frequently reported site.

Observation:

  • A unique case of erythema migrans is presented, involving the attached gingivae and both upper and lower labial mucosa.
  • The characteristic rash was absent from the patient's tongue, contrary to typical presentations.

Findings:

  • This case highlights an atypical distribution of erythema migrans within the oral cavity.
  • The absence of tongue lesions in this instance deviates from previously documented oral Lyme disease cases.

Implications:

  • Clinicians should consider Lyme disease in the differential diagnosis of oral mucosal lesions, even with unusual locations.
  • Further research is warranted to understand the varied presentations of erythema migrans in the oral environment.

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