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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.
STARI rash on the back of adult male patient from Missouri. The hallmark of Southern Tick-Associated Rash Illness is the Lyme-like lesion. The rash usually appears within seven days of a Lone Star tick bite, and similar to the Lyme lesion, expands in a circular or elliptical fashion.