An otherwise healthy 16 year-old-male presents to the Emergency Department (ED) with a rash on his chest that began one month prior to presentation. The patient reports that his dad noticed the rash today, prompting him to present to the ED. The patient denies any systemic symptoms including fevers, nausea, malaise, or abdominal pain. He states the rash is painless and does not itch. He has no memory of a tick bite but does spend time outdoors…

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