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Richard A. Kaslow, MD, MPH

JAMA. 1992;267(10):1381-1383.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

SELECTED CASE

A 29-year-old woman presented with knee and elbow pain of 12 days' duration. Twelve weeks earlier in mid-June she had been working in a craft center at a camp on the Chesapeake Bay, Md, but spent much recreational time biking through wooded and open coastland. She recalled scratching a slightly pruritic area on her

See also p 1364. lower thigh in early July. Several days later she noticed a circular area of intense redness, approximately 8 cm in diameter, which she attributed to irritation from scratching. Over the next 10 days, the rash grew considerably larger, showing a red outer border more visible than the center. The rash then disappeared gradually. In late July, she felt unusually hot and fatigued, experienced headache and intermittent nausea for 5 days, and had difficulty sleeping and concentrating both at work and while biking. For about 36 hours she had mild pain . . . [Full Text PDF of this Article]

Author Affiliations
From the Epidemiology and Biometry Branch, Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, National Institutes of Health, Bethesda, Md.

Footnotes
Reprint requests to Epidemiology and Biometry Branch, Division of Microbiology and Infectious Diseases, National Institute of Allergy and Infectious Diseases, Solar Bldg 3A24, National Institutes of Health, Bethesda, MD 20892 (Dr Kaslow).

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