Victoria is the elder mother on "One Life to Live - TV show My friend Alyse came to visit, wearing a beautiful pink robe, but she came to complain that we had been talking about her to other people. I finally went over to her and shook her a bit and said, "We are trying to help you! Then my mother told her to take her stuff, which was in a paper bag, and "Get out! Joe and I were discussing Alyse's religious beliefs a couple of weeks ago.
This letter concerns a patient population that manifests a particular set of symptoms we have encountered with increasing frequency, and that OSU-CHS is actively researching. The condition has been labeled as Morgellons Disease and it is unclear if this is a single disease or a multi-faceted syndrome.
What is unclear is if there actually is a patient population manifesting a particular set of symptoms. The only consistent distinguishing feature, the fibers, has been shown to be simple environment contamination, since fibers are everywhere and it is impossible to keep them out of lesions.
Until recently, most of these patients have been grouped as a subset of the diagnosis of Delusions of Parasites delusional parasitosis; DOP. Delusions of Parasites is the mistaken belief that one is infested with parasites. If people simply have lesions, and find fibers in them, they may form the mistaken belief that their fibers are connected with their disease.
DOP is a poor diagnosis in this case, and I have often spoken against this.
The Morgellons research foundation seek to characterise their campaign as a fight between two choices, either Morgellons is a new disease, or it is DOP. This serves to increase sympathy for sufferer, as clearly their symptoms particularly the lesions are real, and they do in fact find fibers in their lesions.
But the reality is more complex. Many of the sufferers clearly have some form of dermatitis artefacta, or neurotic ecoriations, and the causes of those symptoms are many and varied, and DOP plays only a small part in them.
After obtaining careful patient histories and thorough physical exam, we have determined that Morgellons patients have several important distinctions ruling out the diagnosis of DOP. Like I said, DOP plays only a small part here.
So ruling it out only rules out a small part of the possible causes of the symptoms. There are a LOT of other things that need to be ruled out before we can decide someone has a disease new to science.
This population of patients frequently exhibit the following symptoms: A classic sign of Neurotic Excoriations. Pruritis itching has many causes.
That lesions should itch is not at all surprising. Itching can cause lesions via what is known as the itch-scratch-itch cycle, whereby the patient obtains temporary relief via scratching, but irritates and damages the skin in the process, causing the itching to return later.
Eventually the damage to the skin causes lesions to form. These fibers, which many healthcare providers initially thought to be textile contaminants, are often present in the deep tissue of biopsies obtained from unbroken skin of individuals with this condition.WRITE MY PAPER FOR ME - WE CARE ABOUT QUALITY OF OUR SERVICE.
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