以皮肤损害为首发表现的莱姆病临床较多见 ,易误诊误治 ,现将我们诊治的 84例报道如下。1　临床资料一般资料 :84例中 ,男性 4 8例 ,女性 36例 ,年龄1 2～ 4 5岁 ,平均 2 4 2岁。均生活在疫区 ,有明确蜱叮咬史。叮咬部位依次为腋下、上肢及头颈部 ,叮咬蜱种为全沟硬蜱[1] 。于 Lyme disease, the first manifestation of skin damage as clinical manifestations more easily misdiagnosis and mistreatment, now we report the treatment of 84 cases are as follows. 1 Clinical data General information: 84 cases, 48 ​​males and 36 females, aged 12 to 45 years old, with an average of 224 years old. All live in the affected area, there is a clear history of tick bites. Bites followed by the armpits, upper extremities and head and neck, bite tick species of Ixodes Ixodes [1]. in