Disseminated Lyme borreliosis preceded by hepatitis in an African American male

Abstract

Lyme disease is the most common tick-borne disease in the United States and has a multitude of systemic effects. Infrequently, however, Lyme disease is seen to cause liver dysfunction. Dermatologists should be aware that early, disseminated borreliosis can present with multiple erythema migrans plaques and hepatitis. © 2012 Dermatology Online Journal.