What are the symptoms of Lyme disease?
The list of possible symptoms is long, and symptoms can affect every part of the body. The following are the most common symptoms of Lyme disease. But symptoms are slightly different for each person.
The primary symptom is a red rash that:
- Can appear several days after infection, or not at all
- Can last up to several weeks
- Can be very small or grow very large (up to 12 inches across), and may resemble a "bulls-eye"
- Can mimic such skin problems as hives, eczema, sunburn, poison ivy, and flea bites
- Can itch or feel hot, or may not be felt at all
- Can disappear and return several weeks later
Several days or weeks after a bite from an infected tick, you may have flu-like symptoms such as the following:
- Headache
- Stiff neck
- Aches and pains in muscles and joints
Low-grade fever and chills - Fatigue
- Poor appetite
- Swollen glands
Weeks to months after the bite, the following symptoms may develop:
- Neurological symptoms, including inflammation of the nervous system (meningitis) and weakness and paralysis of the facial muscles (Bell palsy)
- Heart problems, including inflammation of the heart (myopericarditis) and problems with heart rate
- Eye problems, including inflammation (for example, red eye)
Months to a few years after a bite, the following symptoms may include:
- Inflammation of the joints (arthritis)
- Neurological symptoms including numbness in the extremities, tingling and pain, and difficulties with speech, memory, and concentration
Some people may develop post-Lyme disease syndrome (PLDS). A condition also known as chronic Lyme disease includes PLDS, but also other syndromes. Usually, these are characterized by persistent musculoskeletal and peripheral nerve pain, fatigue, and memory impairment.