The most common early sign of Lyme disease is a skin rash that has a "bull's eye" appearance. It begins as a reddened area near the tick bite. As the rash increases in size, it clears in the middle and develops a red ring around the outside.

• May expand to a very large size,
• Is usually not painful or itchy, and
• Often appears on the thighs, groin, trunk, armpit, and on children's faces.

	Single Rash
	Single Rash
	Multiple Rash A person may experience multiple rashes, such as you see here. The rash is not caused from multiple tick bites, but occurs as a reaction when the bacteria moves through the body
	Multiple Rash
	Arthritic Knee This is an example of Lyme arthritis in the knee.  Joints may become red, swollen, and painful