UNASSIGNED: @entity3001 ( @entity3001 ) is a @entity7545 caused by @entity2069 . Although variable rates of seropositivity for @entity2069 have been reported between 2% to 44% in @entity233 , its actual prevalence is not well-understood. The aim of this retrospective study was to evaluate the characteristics of 10 cases of @entity3001 presenting as @entity8831 ( @entity8831 ) between 2009 and 2013 from Istanbul which is one of the metropolitan cities of @entity233 . Of the @entity1 , five were male and five were female, ages between 9-51 years (mean age: 34.5 years). Five of the @entity1 were admitted in June, three in October, one in November and two in December and all have the history of tick bite in last 1-2 weeks. There were no clinical symptoms for @entity281 among the @entity1 with normal level routine laboratory test (whole blood count and biochemical tests) results. Five of the cases had @entity8831 lesions in the trunk, three in the upper extremities, and two in the lower extremities. Four @entity1 presented with annular, three with solitary macular, and three with target-like @entity8831 lesions. In all cases, the biopsy specimens were positive for @entity2069 sensu lato DNA with polymerase chain reaction and all were also positive in terms of B.burgdorferi IgM antibodies with ELISA. Nine @entity1 were treated with oral @entity3403 , 100 mg twice daily and one @entity1 @entity1 was treated with oral @entity115 500 mg twice daily for 21 days. @entity8831 lesions disappeared within 2-4 weeks in all @entity1 . There was no clinical evidence for systemic involvement in any of the @entity1 like neurologic, cardiac, and joint involvement at the follow-ups on the third, sixth and 12th months. To our best knowledge, 10 @entity1 in this study are the largest @entity8831 series reported from @entity233 . The increase in the number of @entity3001 cases may be associated with @entity5864 and increased awareness due to the emergence of concurrent @entity7594 in @entity233 . As a result, when enlarged @entity75 on the skin were observed, LH must also be considered in differential diagnosis, history of tick bite should be questioned and etiological diagnostic test should be performed.

[Evaluation of 10 cases of @entity3001 presenting with XXXX in Istanbul, @entity233 ].

@entity1 :: ('9606', 'Species') :: ['patients', 'patient', 'child'] @entity3001 :: ('MESH:D008193', 'Disease') :: ['LD', 'Lyme disease'] @entity7594 :: ('MESH:D006480', 'Disease') :: ['Crimean-Congo hemorrhagic fever epidemic'] @entity115 :: ('MESH:D000658', 'Chemical') :: ['amoxicillin'] @entity233 :: ('9103', 'Species') :: ['Turkey'] @entity75 :: ('MESH:D001927', 'Disease') :: ['erythematous lesions'] @entity2069 :: ('139', 'Species') :: ['B.burgdorferi', 'Borrelia burgdorferi'] @entity3403 :: ('MESH:D004318', 'Chemical') :: ['doxycycline'] @entity8831 :: ('MESH:C538499', 'Disease') :: ['EM', 'erythema migrans'] @entity281 :: ('MESH:D007239', 'Disease') :: ['systemic infection'] @entity5864 :: ('MESH:D064927', 'Disease') :: ['increased tick bite'] @entity7545 :: ('MESH:D017282', 'Disease') :: ['tick-borne, multisystemic infection']
@entity8831 :: (MESH:C538499,Disease) :: ['erythema migrans']
