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September 11, 2025

Spinal Taps for Lyme Disease: Do You Really Need One?

Spinal Taps for Lyme Disease: Do You Really Need One?

Spinal Taps: A troubling trend I’ve noticed a troubling trend in Lyme disease care. Some patients are being told they need a spinal tap (lumbar puncture) to “rule out neurological Lyme disease.” While spinal taps are important in cases like suspected meningitis, their role in evaluating Lyme is much more limited. Too often, patients go

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Lyme Rash Misdiagnosis: Not Every Rash Is a Bull’s-Eye

Lyme Rash Misdiagnosis: Not Always a Bull’s-Eye

Why Lyme Rash Misdiagnosis Happens When most people hear “Lyme disease,” they imagine the classic bull’s-eye (erythema migrans) rash. In reality, that textbook image is the exception, not the rule. Fewer than half of patients develop the bull’s-eye pattern. Instead, the rash may appear as a simple red patch, multiple spots across the body, or

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