With Lyme disease season now beginning, doctors are urged to consider Lyme disease as the underlying cause when presented with skin lesions that resemble conditions such as contact dermatitis, lupus, common skin infections, or insect or spider bites, especially where Lyme disease is endemic. New analysis establishes patients with those symptoms, rather than the classic Lyme “bulls-eye” lesion, to have been infected with the Lyme bacterium.