SED rates 20 if arthritis Lyme antibodies may be present. Sometimes has a flu-like onset. EM rash occurs in only half of cases, fewer than previously thought. Also atypical rashes and EMs with Lyme. Pushing oneself beyond the onset of fatigue has fewer consequences.
Pain lessens with using the joint.
Fibromyalgia Syndrome also occurs. More constipation than diarrhea. Often begins as a definitive febrile flu-like illness. Fatigue is prominent. Pushing oneself past the point of early fatigue greatly increases fatigue experienced subsequently, sometimes for days.