Lyme disease can affect any part of the body and cause many different symptoms.

The commonest symptoms relate to the person feeling unwell, having flu-like symptoms, extreme tiredness, muscle pain, muscle weakness, joint pain, upset digestive system, headache, disturbances of the central nervous system and a poor sleep pattern.

In some cases a characteristically shaped, expanding ‘bull’s eye’ rash appears on the skin.

However, a rash in any form is not a universal symptom.

If the rash does occur, it is termed Erythema migrans or EM rash.

It may manifest in a chronic form and be known as Erythema chronicum migrans or ECM rash.

The list of symptoms known to be associated with Lyme disease is long and diverse.

The symptom pattern varies from person to person.