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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.
Click here for pictures of lone star ticks. Southern Tick Associated Rash Illness (STARI), also known as Masters disease, occurs after the bite of the lone star tick, Amblyomma americanum. The disease is thought to be caused by the bacterium Borrelia lonestari. However, this hypothesis is based on a single case of B. lonestari infection in a STARI patient.