<prompt> Which of the following is not the manifestation of Borrelia Burgdorferi -Erythema chronicum migransAcrodermatitis chronica atrophicansLymphogranuloma venerumAll  <response>: Ans. is c i.e., Lymphogranuloma vernerum . Amongst the given options only option a and b are caused by Borrelia burgdorferi Lymes disease. Erythema migrans erythema chronicum migrans is stage 1 local infection and acrodermatitis chronica atrophicans is seen in stage 3 persistant infection. 