| Early, localized (cutaneous) disease |
7-14 dys (up to 30 dy) |
flu-like illness, ‣* (target-like lesion) → spontaneously over a 4-week w/t tm |
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| *Symptoms appearing after to EM |
dy - mon |
headache, fatigue, malaise, LAD, migratory arthralgias and myalgias, Bell’s palsy, aseptic meningitis, mononeuritis multiplex, heart block, myocarditis, mid neck stiffness |
| Later (extracutaneous) disease |
mon - yrs |
acrodermatitis chronic atrophicans, panniculitis, recurrent mono/oligoarthritis of large joints, subacute encephalomyelitis, polyneuropathy, dementia -> dx clinically and with serology +/- CSF |