HOW THE INCIDENCE OF AN EM RASH CAN BE INFLATED
[CanLyme Note: In Canada the percentage of people who have a rash with Lyme disease is much lower than stated. This dissemination of inappropriate information on the incidence of the rash leads to the under-detection of Lyme disease in Canada as seen in this research.]
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“The incidence of an erythema migrans (EM) rash, a definitive sign of Lyme disease, has been touted by Shapiro and Wormser as occurring in at least 90% of patients.”
“But the incidence of an EM rash is lower in studies that are all-inclusive and do not exclude patients that fail to have a rash. For instance, only 25% of patients had an EM rash in the study which first described Lyme disease in Lyme, CT. [4]”