Morgellons disease is usually discussed as a disease of fibers. Under the microscope, however, the more difficult questions concern the skin producing, surrounding, or containing those structures. Published reports describe altered epidermal architecture, abnormal hairs and filaments, comedo-like masses, and thickened follicular casts. None of this proves why Morgellons patients experience stinging, pressure, crawling, or the persistent sensation that something must be removed from the skin. It does raise a question that dermatology has barely studied: what was present at the site before the patient began manipulating it?
maculopapular rash
Morgellons Doesn’t Automatically Mean Lyme Disease — Here’s Why
Morgellons and Lyme disease are often discussed together, but Morgellons does not automatically mean Lyme disease. Some patients may have Lyme disease, tick exposure, relapsing fever Borrelia, Bartonella, or other infections that deserve careful evaluation. But a Lyme-only explanation can also create a dangerous blind spot when syphilis, rash patterns, testing limitations, geography, congenital history, …