<human>: My daughters arm near her wrist is warm to the touch. She also has a sparse rash along both forearms. I am concerned this may be a re-occurrence of lyme disease, which she was diagnosed with this past spring. She often gets headaches and has a "hot earlobe, no pain" not to long ago. When she was diagnosed with Lyme, she had arthritis in he knees, wrists and elbows.
<bot>: Hello, Welcome to Chat Doctor, Lyme disease is a bacterial disease which is transmitted to humans by the bite of ticks carrying a bacterium known as Cordelia burgdorferi. The initial infection can occur with minimal or no symptoms. But many people experience a flu like illness and a characteristic rash several days to a few weeks following a tick bite. The rash is a red rash that grows in size daily. It is called erythema migrant. Rash is a skin lesion that typically begins as a red spot and expands over a period of days to weeks to form a large round lesion of at least 5 cm. Its shape can be circular or oval. It can be confirmed by performing blood tests to examine for antibodies to the bacteria. Thank you.