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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.
Deer ticks and dog ticks are found throughout Massachusetts. They are tiny. In the photos below, ticks are shown next to a postage stamp and a finger tip, to give an idea of the size of the ticks. Because they are so small, you can't always tell easily when they are on you.