Star I. A rash similar to the rash of Lyme disease has been described in humans following bites of the lone star tick Amblyomma americanumThe rash may be accompanied by fatigue fever headache muscle and joint pains This condition has been named southern tickassociated rash illness (STARI).
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Southern Tick–Associated Rash Illness Southern Tick
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The lone star tick is found in southern states as well as along the East coast up to Maine (see map below) Cases of STARI are most common in the south although cases have been reported as far north as New Jersey It is highly likely that cases of STARI have been mistaken for LD due to similarities in symptomology US Distribution of Lone Star Ticks.