Question

A 30-year-old man presents with a 4-week history of an annular rash on his leg with central clearing, following a tick bite while hiking in the Lake District. He is otherwise well. What is the most appropriate management?

Accepted Answer

Oral Doxycycline 100mg BD for 21 days

Answer

Topical Miconazole cream

Answer

Oral Flucloxacillin 500mg QDS

Answer

Blood test for Borrelia antibodies (ELISA) before treatment

Answer

Reassurance, self-limiting reaction

Practice question

A 30-year-old man presents with a 4-week history of an annular rash on his leg with central clearing, following a tick bite while hiking in the Lake District. He is otherwise well. What is the most appropriate management?