The first symptom of Lyme disease in most people is an
expanding red skin rash (called erythema migrans or an EM rash). In about a
third of people, the rash looks like a bull's-eye, with a pale center area
surrounded by a bright red rim. The rash is often accompanied by flu-like
To diagnose gout, blood and urine tests are needed but may not always give the answer.
Demonstrating high uric acid in the blood is essential, but you can have a high level of uric acid without having gout. Or you may have normal uric acid levels at the time of a gout attack.
To confirm the presence of gout, fluid drawn from the affected joint may be examined under a special polarizing microscope to see if it shows the characteristic crystals.
X-rays are useful in confirming long-term or chronic...
If Lyme disease is not detected and
treated while early symptoms are present, or if a person never has early
symptoms that trigger the need for treatment, the infection may spread to the
heart, the joints, the brain and spinal cord (nervous system), or sites on the
Heart and nervous system problems may develop weeks to
months after the initial infection, including:
Pain, weakness, or numbness in the arms or
A gradual inability to control the muscles of one side of the
face (paralysis of the facial nerves).