| 1: Classic erythema migrans (EM) rash | Initial presentation of EM. A photo used by multiple organisations, so GPs likely to be familiar with. Then patient revealed to have been bitten by a tick |
| 2: Borrelial lymphocytoma | Borrelial lymphocytoma of the ear lobe |
| 3: Acrodermatitis chronica atrophicans (ACA) | With associated peripheral neuropathy |
| 4: Bell’s palsy | Later revealed to have insect bite on scalp |
| 5: Recurrent synovitis of knees | None |
| 6: Multiple EM rashes | Patient had been walking in Dartmoor |
| 7: Heart rhythm abnormalities | None |
| 8: Fatigue, post-exertional malaise, anxiety, headaches, and memory issues | Later patient reveals an international lab report saying she has Lyme disease, and she demands long-term antibiotics |
| 9: Fatigue, arthralgia, poor ability to concentrate, myalgia, mood swings | None |
| 10: Non-engorged tick attached to scalp | None |
| 11: Poor fine motor movements, rash 2 months previously at scout camp. This had been treated with erythromycin. | None |