Morgellons

Morgellons (Morgellons disease or Morgellons syndrome) is a condition characterized by a range of cutaneous (skin) symptoms including crawling, biting, and stinging sensations; finding fibers on or under the skin; and persistent skin lesions (rashes or sores). Its name is derived from a condition described in 1674 by the British author Thomas Browne, known as "Morgellons".

Symptoms and signs

The primary symptoms of Morgellons include:

• Skin lesions, rashes or sores that can cause intense itching
• Crawling sensations on and under the skin, often compared to insects moving, stinging or biting
• Fibers, threads or black stringy material in and on the skin
• Fatigue
• Difficulty concentrating
• Short-term memory loss
• Depressed mood

The intensity of these symptoms can lead to substantial loss of quality of life.

Causes

The cause of Morgellons is not well understood. Some health professionals believe that signs and symptoms of Morgellons disease are caused by an infectious process in the skin cells. Others suggest that they are caused by an immune response to environmental irritants or psychological distress. In some cases, the symptoms may be a secondary effect of another underlying disease or health condition.

Diagnosis

Diagnosis of Morgellons disease is challenging because of the lack of a universally accepted definition and the range of symptoms that can occur. A healthcare provider may diagnose Morgellons disease based on a patient's signs and symptoms, a detailed medical history, a thorough physical examination, and appropriate diagnostic tests.

Treatment

There is no specific cure for Morgellons. Treatment options are tailored to the individual's symptoms and may include behavioral therapy to help manage the patient's response to symptoms and discomfort. Other treatments may include medication to reduce the sensation of itching, manage any underlying diseases, and improve the patient's quality of life.

See also

• Delusional parasitosis
• Dermatitis
• Lyme disease