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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.
The name commonly used for this species--lone star tick--has its origins in a distinctive morphological feature exclusive to the adult female: a white, star-shaped spot or lone star on the tick's back.