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Published on: 7/15/2026

What does a Lyme disease rash look like?

The Lyme disease rash, known as erythema migrans, is typically a red, circular or oval patch that gradually expands over days. It often forms a distinctive bull's-eye pattern, with a clear center surrounded by a red ring, though not all rashes appear this way. The rash usually appears within 3 to 30 days after a tick bite, is generally painless, and may feel warm to the touch. Early identification is critical, as Lyme disease can lead to serious complications if left untreated.

If you've noticed a rash, recent tick exposure, or unexplained symptoms like fatigue, joint pain, or fever, don't wait to find answers. Taking a free, instant, online symptom check can help you understand what may be causing your symptoms and guide your next steps—so you can act quickly and confidently.

Reviewed for medical accuracy: 07/15/2026

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Explanation

Lyme disease is often recognized by a distinctive rash called erythema migrans. This rash typically appears as a red, circular patch that can expand over time. In some cases, it may look like a bull's-eye, with a red outer ring surrounding a clear area and a red center.

Characteristics of the Rash:

  • Shape and Size: The rash is usually round or oval and can grow to several inches across.
  • Color: It starts as a red spot and may develop a central clearing, giving it a bull's-eye appearance.
  • Location: It often appears at the site of the tick bite but can show up on other parts of the body.
  • Symptoms: It may be warm to the touch but is usually not painful or itchy.

This rash is an early sign of Lyme disease, appearing within 3 to 30 days after a tick bite. It's important to note that not everyone with Lyme disease develops this rash, so other symptoms like fever, chills, and body aches should also be considered. If you're experiencing these symptoms and want to better understand what might be causing them, you can use Ubie's free AI-powered symptom checker to help guide your next steps and determine if you should seek medical advice.

(References)

  • Berger BW. (1989). Dermatologic manifestations of Lyme disease. Reviews of infectious diseases, 2814169.

  • Müllegger RR, & Glatz M. (2008). Skin manifestations of lyme borreliosis: diagnosis and .... American journal of clinical dermatology, 18973402.

  • Strle F, & Wormser GP. (2022). Early Lyme Disease (Erythema Migrans) and Its Mimics .... Infectious disease clinics of North America, 36116832.

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