{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,1]],"date-time":"2026-06-01T18:03:01Z","timestamp":1780336981522,"version":"3.54.1"},"reference-count":25,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2018,2,9]],"date-time":"2018-02-09T00:00:00Z","timestamp":1518134400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J Cutan Pathol"],"published-print":{"date-parts":[[2018,4]]},"abstract":"<jats:p>Lyme disease classically evolves through clinical manifestations according to the stage of illness. Because many of the systemic symptoms are non\u2010specific, and because serology may yield false negative results, cutaneous findings merit even greater importance to diagnosis. The prototypical skin lesion, erythema migrans (EM), occurs early and is the only independent diagnostic clinical feature according to the guidelines of the Infectious Diseases Society of America. EM itself has protean guises, being, at times, vesicular, indurated, necrotic, purpuric, solid, or targetoid, but it is not the sole <jats:italic>Borrelia<\/jats:italic>\u2010associated skin lesion. Acrodermatitis chronica atrophicans and borrelial lymphocytoma cutis are other well\u2010known skin manifestations. A rare cutaneous manifestation that is increasingly reported in Lyme patients is panniculitis, which develops after dissemination of the spirochete. We present such a case in a patient who was initially treated for cellulitis as well as neck and radicular leg pain, thereby expanding the cutaneous spectrum of Lyme disease.<\/jats:p>","DOI":"10.1111\/cup.13100","type":"journal-article","created":{"date-parts":[[2018,1,2]],"date-time":"2018-01-02T17:32:39Z","timestamp":1514914359000},"page":"274-277","source":"Crossref","is-referenced-by-count":7,"title":["Septolobular panniculitis in disseminated Lyme borreliosis"],"prefix":"10.1111","volume":"45","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-1217-4457","authenticated-orcid":false,"given":"Martin R.","family":"Dittmer","sequence":"first","affiliation":[{"name":"Carver College of Medicine University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Melissa S.","family":"Willis","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John C.","family":"Selby","sequence":"additional","affiliation":[{"name":"Department of Dermatology University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vincent","family":"Liu","sequence":"additional","affiliation":[{"name":"Departments of Dermatology and Pathology University of Iowa Hospitals and Clinics  Iowa City Iowa"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2018,2,9]]},"reference":[{"issue":"10","key":"e_1_2_5_2_1","first-page":"1","article-title":"Surveillance for Lyme disease\u2014United States, 1992\u20102006","volume":"57","author":"Bacon RM","year":"2008","journal-title":"MMWR Surveill Summ"},{"issue":"11","key":"e_1_2_5_3_1","first-page":"1086","article-title":"Diagnosis and management of Lyme disease","volume":"85","author":"Wright WF","year":"2012","journal-title":"Am Fam 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