this is a 10 day evolving lesion that itches slightly. Unsur | Figure 1

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this is a 10 day evolving lesion that itches slightly. Unsure of what type of insect bite but denies tick exposure. Now has increased arthralgias and headaches but this is not unusual for pt to have relapses of these sxs. She did not want labs drawn due to finances. I started her on doxy 100 mg bid x30 days for tx of Lyme arthritis.


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