A foot tumor as late cutaneous Lyme borreliosis: a new entity?

Abstract

Acrodermatitis Chronica Atrophicans (ACA) is the late cutaneous form of Lyme borreliosis. It is a rare tertiary manifestation characterized by a slowly progressive course over many weeks to months. The early inflammatory phase manifests with a bluish-red discoloration and doughy swelling of the skin. Atrophic phase represents a late-phase process with red discoloration, thin and wrinkled appearance to the skin. We present a patient who exhibited a previously non-described form of late cutaneous Lyme borreliosis (LCLB) with a foot tumor.

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