Dear Dr. Rockoff:
Please check images at our website to see if you have any idea what might be causing the unknown skin disease we are researching.
The Morgellons Foundation
http://www.morgellons.org/
We are hoping to get detailed microscopy done to look for important clues to this organism. Thousands of people in the US have reported the unusual symptoms of this disease. California seems to be the state with the highest number of reports.
The symptoms of this skin disease include stinging, pruritic (itchy), non-healing skin lesions. FIBERS of unknown origin are found deep within skin lesions, and are NOT the result of clothing or environmental fibers. Oils or lotions rubbed into the skin can cause many of these fibers to surface on clean skin.
To study this, we have cleaned skin lesions and determined them to be fiber-free, by using a handheld microscope (30x Radio Shack). We then covered the lesions with a non
fibrousFibrous dysplasia dressing. When the dressings were removed, the fibers were once again observed to be embedded in the lesions.
We do not believe this is fungal based infection, as antifungals do not
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Protopic, relieves skin inflammation to a degree, but the condition appears to be chronic.
Please let me know if you have any insight into what is going on here.
Thank you!
Mary
Yes, many of the people with this unknown skin disease have seen dermatologists. The dermatologists cannot determine what is causing the symptoms.
Sadly, many of the adults with these symptoms are thought to be delusional since their symptoms cannot be attributed to a known cause. I admit that the mention of the fibers has a tinge of craziness to it, but nonetheless the fibers are are intrinsic to the lesions.
The microscopy work I mentioned is being done by a lab who has volunteered their time to help us. They are willing to look, without bias.
The problem thus far has been that labs receiving biopsies are sent to pathologists who are looking for something known. Something known is not seen and the answer has not been found.
I thought you might have possibly heard of these symptoms somewhere in your academic travels.
I apologize for using the word "Mysterious", as I didn't mean to sound silly.
Thanks for your input!
Mary
Pathologists do not only look for "something known." When they see new findings not seen before they publish papers to tell the world about them. What have the ones who have looked at your patients said they saw? Have they published any papers in the medical literature? If so, I would be happy to look them over, if you'll provide me the references.
By the way, how do you know all the people you have in mid have the same disease. To be sure of that, there would have to be a disease definition--which signs and symptoms, and so forth. What do all your patients have in common, other than having a rash which their doctors can't diagnose?
Thanks.
Dr. Rockoff
I have never considered that there is any type of conspiracy thing going on with this unknown skin disease. I am sorry if I implied as much.
There are those who might disagree with me about that, but my thinking does not go in that direction. My take on why this organism has not been identified is similar to what happened with the discovery of Helicobacter pylori and ulcer disease.
There is a great website on the history of H. pylori, below is an excerpt:
Helicobacter pylori and Ulcers: a Paradigm Revised
http://www.faseb.org/opar/pylori/pylori.html
"The scientific breakthrough that involved Helicobacter occurred in 1982, when J. Robin Warren and Barry Marshall isolated a new bacterium and showed that it caused gastritis and stomach ulcers, diseases that affect millions of humans worldwide. As happens with many scientific advances, this breakthrough initially gained its momentum from the creative insights of an independent investigator. Although they were the first to succeed in establishing a link between bacteria and ulcers, the Australians were not the first to try. Since the time of Robert Koch in the late19th century, microscopists observed curved bacteria among the cells under the mucus lining of the stomach, particularly in and around ulcer craters. No one had ever succeeded in isolating the microorganisms, however, and their presence had been explained away as artifact or postmortem contamination."
You asked what the common finding in these patients is, besides the skin lesions. All patients have the fibers, which have been determined to be cellulose fibers by polarizing light microscopy. Also, these fibers stained positive with Calcofluor white.
The fibers can be removed from deep within the skin lesions, under thick scabs in many cases. There are not just a few fibers, there are great numbers of them. These are clearly not random textile fibers.
The lab that is helping us is an Electronmicroscopy lab. They are receiving no money, they just see the reality of our situation and want to help. They are curious scientists, and they also believe us when we insist that the fibers are not artifact or contaminants. That has been the most difficult task I have ever experienced, getting professionals to consider the possibility that my observations are correct.
I have been contacting people since August, 2001. I have convinced very few professionals that the fibers are intrinsic to the lesions, produced by an organism within the lesions. The fibers are a major clue to this organism, it is a shame they have been dismissed as artifact in the past.
I certainly don't have all the answers, but I am willing to keep looking until the answers are found. No published papers, no references to direct you to. Sorry, I wish there were.
Thank you for your willingness to discuss this subject!
Best wishes,
Mary
PS
Another great site on the subject of unknown organisms, which references a paper suggesting a reassessment of Koch's original postulates:
Click here: Detection and Identification of Previously Unrecognized Microbial Pathogens
http://www.cdc.gov/ncidod/EID/vol4no3/relman.htm
Who saw the cellulose fibers and dismissed them as artifacts? Where are their reports? If you have the slides, I can help you find pathologists to review them.
Where are the records of the dermatologists who saw all these patients?
I am a clinical dermatologist only. What are the clinical symptoms which convice you that all these patients have the same thing? Your website says:
Individuals with the Morgellons experience itchy, inflamed, non-healing skin lesions. Stinging sensations are common. Unexplained hairloss is seen in a segment of the patient population, as well as a hardening or thickening of skin.
20% of the people I see every day have itchy stinging lesions. If they scratch, the lesions don't heal. Do they all have Morgellons? How would I know?
Dr. Rockoff
I wish I had more answers than I do.
I guess the only way you would know if someone had the Morgellons (for lack of a better name) is by examining the lesions in situ with a handheld microscope. I'm sure you have a better one than mine, but I have used a Radio Shack 30x lighted, handheld microscope ($7.99) to view the lesions recently with a dermatologist and he was impressed with what he saw. He is interested in the research we are doing, but had no idea what was causing the lesions or fibers on my three year old son. The only help he could offer was to treat the resultng skin inflammation with Elidel, a topical immunomodulator.
We have used Diprolene and various topical steroids in the past with success treating the inflammation, but want to avoid steroids. The Elidel quiets the skin inflammation about 50-75%, if used regularly.
Sideline:
(My thinking is that treating the skin inflammation resulting from either the organism or the fibers, is like treating a sinus infection headache with Ibuprofen. We are controlling the symptoms without treating the underlying infection. Without addressing the cause of the inflammation, we are destined to continue the cycle of trying to control the inflammation with topical immune modifying meds. My opinion (and I fully realize that it is only my opinion) is that rather than a malfunction of the immune system, this skin inflammation is actually an appropriate immune response to an invading organism. You may argue; which came first the inflammation or the organism, if it is indeed an organism, and your argument would be correct. Does my son have an underlying eczema, which creates inflammed and broken skin which is easily invaded by an opportunistic organism, or does the organism simply inflame normal skin, creating what in my son's case has been described by multiple physicians as "classic eczema"? These arguments are worth consideration.)
The Radio Shack microscope has been discontinued, but I'm sure there are others on the market. The microscope makes it easier to understand what is going on with the lesions, since I do realize it sounds unbelievable that the fibers come from within the lesion, and are not due to some environmental source.
I would love to have a dermatopathologist's take on skin samples with embedded fibers.I would not biopsy my son at this point, but I know of people who would certainly be willing to be biopsied again if they thought something would come of it.
As for past slides or medical records, I don't know particulars for other people. In my son's case, no one has ever wanted to discuss the fibers before the last appt when we used the microscope. Other physicians have told me that fibers are always from textiles.
Here is an interesting article and theory about unknown microorganisms as the cause of disease.
Click here: A New Germ Theory - 99.02
http://www.theatlantic.com/issues/99feb/germs.htm
Again, thank you for your open-minded discussion. Unfortunately, I have more questions than I do answers.
Best wishes,
Mary
I wish you luck. I still don't really undertand why you think "fibers" imply microorganisms. What bugs do you know which produce fibers.
Also, who are the "we" you refer to. How many other people are convinced they have the "same thing" as your son, and how do you know they're right? Did they all look with the same microscope?
Your concern with finding a "cause" is undertandable, but the world is full of phenomena which don't have that kind of simple cause. The idea that you can go to Radio Shack and find what all the medical scientists on the world have overlooked is attractively romantic, but not very realistic.
Of course, you could take a simple step to find out what's happening--you could biopsy a sample and have a laboratory analyze the content of the fibers. You could take this step but you won't. If you really believe your son is being invaded by an organism, you need to ask yourself why you won't take the simple and barely invasive step toward findinng out what it is. I leave it to you--and the others egnaged in research with you--to answer this question.
The Atlantic article is not about new germs, but about selective evolutionary pressures on old ones. Cholera is not a mysterious unknown germ.
If you ever come up with what you are satisfied is an answer, please let me know.
Dr. Rockoff
I know that you believe I am misinterpreting the skin situation we have been discussing. I assure you that I am 100% on target, and merely reporting the facts.
I am not insulted by your responses, rather I feel that your perspective is an example of why this disease has not been recognized by the medical community, and why the cause of many inflammatory skin diseases remains "idiopathic."
No, I do not believe this is a "bug" in the insect-meaning of the word. No insects produce cellulose, that I am aware of. Although one organization involved with this disease believes it is caused by Collembola, a nonparasitic insect. My belief is that Collembola were incidental findings when they were recovered from skin scrapings of the patients studied. That is only my humble opinion. There are many theories about the cause of this disease. Again, no published papers yet.
However, cellulose fibers have been found associated with human skin pathology. See the following references:
Cellulose in human disease
http://www.botany.utexas.edu/facstaff/facpages/mbrown/newstat/stat39.htm
Cellulose Fibers in Scleroderma skin
http://www.botany.utexas.edu/facstaff/facpages/mbrown/Phildoc/Figure5.htm
Do I think human have genes for producing cellulose? No. Do I think insects are causing this disease? No. Do I know what is causing this? No. Do I want to know what is responsible for the fibers and lesions? Yes, this is my child.
There is a Boston MD (Internist) who has been treating a patient with this skin disease. I hesitate posting his name, without his permission. The doctor was concerned by the unexplained symptoms, namely lesions with fibers, experienced by his patient, and actually contacted a Boston TV station about the disease. A story about this skin disease aired on the Boston evening news in late May, 2002.
A Newton, MA, organization has collected the names of over 2,000 individuals with the symptoms of this disease, and forwarded a report to the CDC in November, 2001.
The numbers of people reporting the symptoms of this disease appear to be rising.
Again, I truly appreciate your discussion.
Best wishes,
Mary
"This skin disease is believed to be caused by an organism which has been difficult to identify." In one of your responses, you say:
My take on why this organism has not been identified is similar to what happened with the discovery of Helicobacter pylori and ulcer disease.
An organism is a living thing, whether you call it a bug or not. What makes you think there is a living thing causing these fibers. And since they haven't been chemically characterized, how do you know they're cellulose?
When doctors communicate with each other, they describe symptoms and signs so that everyone can agree (or disagree) about whether everyone is talking about the same thing. The 2000 people collected by the Newton, MA organization--how do they know they all have the same thing? What are the criteria of diagnosis? As to the internist, did he consult a dermatologist? Why not? Bias again?
Although you claim your cuase is not conspiratorial, I cannot agree. Vague hints of unpseciified "bias," implications that the medical community won't listen, internists who won't give names--these smack of conspiracy theorizing to me.
I am a member of the conventional community and I work 10 minutes from Newton, MA. I am willing to examine some of your patients at no charge, and with an open mind. My only requirement is that I be allowed to perform laboratory tests to assess the skin and the fibers, if any.
If you wish to discuss this futher, please contact me through my website hyperlink.
Dr. Rockoff
However I do have something that has caused my hair to fall out, skin thicken, hair like fibers that grow on the top of my skin. that I have sent to a biologist who phase contrast scoped them and these images have been sent to a biologist who deals with things of this nature. I'm glad that you are here for all the many people who need a quick fix. And I'm sure you've had your fill on this topic. But let me assure you, that Skin Researcher has shown determination to find answers to a very real problem. The biggest problem has always been exactly what she has pointed out. Getting doctors to hear what we are telling them, to look at what we are showing them, to admit that it is beyond their learned experience and direct them to the next level of scientific research?
He gave me staroids by mouth for a week also.Hydrocortisone cream help some.Now three months later it feels like it's in my joint in my fingers it's very hard to touch anything.There are masses of small blusters .
The skin is pealing of.Raw skin in some spots.Jionts are swollen and I am in much pain.My doctors is sending me to a dermatologist on the 8/19.I don't think I can wait that long.
I am disabled and have many other health problem. I talk with a sicologist and he thinks it's nerv related.(post tramic stress,degenerate disc des,spinal stinosis,ex..)any help in the right derection would help so much.The rash is now speading to neck and chest arm leggs.But for it doesn't itch anywhere else but the hands.
I do live in the wood 30 mile from town.Also Any thing hot on my hands is Very painfull.
Help.
I wish it were that easy for the rest of us. I was a patient of a doctor whose credentials were quite impressive in the area of psorias and eczema. If I had that I'm certain he would have picked up on that. He's been around for a very long long long,(did I mention long?)time. I'm very happy that your health issue was handled in a timely manner. It's rather odd that your general physician wasn't able to diagnose eczema. But nothing really should strike me as odd anymore. I too was just seen by a dermatologist 8~1~02. He is a rather young doctor, said that this was out of his expertise and advised me (and my general practioner) to go to a university here in my state. This particular university has an extensive derm dept. It's taken quite awhile to get to this place, but I think that it is a step in the right direction. If this young doctor is any indication of how our health system is going to be handled in the future, I will breathe easier for the lot of us. It's going to put a crunch on labs that manufactor "stress meds" but I'd much rather be skin afflicted and know that I am, than stupified and denied by doctors and their mood enhancers.
Again, glad to know you are well. Take care,
Fondly,
dkaz
Elidel is a topical immune-modifying agent. This means it turns off the immune response in the skin.
http://www.elidel.com/default.jsp
It is similar to Tacrolimus, which is the topical form of an antirejection drug used to stop rejection in organ transplant patients. The original drug was called FK506 by researchers.
The information I have is that the drug molecule is too large to be absorbed through the skin into the person's system (systemic absorption).
http://www.transweb.org/reference/articles/drugs/fkindex.html
Elidel worked at first for my son's skin condition, but seems to not be as effective now. Topical steroids help his skin inflammation, but we fear their long-term side effects.
Best wishes!
SR
I have determined along with another person who also had the exact skin probem at the exact same time, it was caused by EMF.
EMF is non-ionizing Radiation. Doctors specialized in EMF also agree rashes and dry skin are becoming more common. This is often from computer monitors (especially if you have your hands near the monitor for great lengths of time) and also from cell phones and cell phone tower transmitters. This at first sounds unreal, but it its true. Our bodies are not built for the amount of additional radiation that has been introduced in recent years and the rash and dryness are just some of the symptoms that the body shows us as a form of early warning. EMF does not always heat the skin, but it does penitrates the skin. The skin becomes very dry and itchy. The toes and nuckles are key locations but also the face, feet, arms, butt and even eyes are secondary spots. EMF Sensitivity is talked about worldwide, but is only known to people who have really researched to find what researchers are really finding. Skin creams will temporarily calm down the inflamation (inflammation) but if you are in a high EMF area, the skin will likely begin again. The hands especially are dry and often crack the skin to the point where the skin bleeds. Again i have found others with this strange health reaction. research under EMF and EMS (electromagnetic sensitivity) Hope this helps. Keep skin moist when inflamed, protective wrap in band-aid and try to avoid scratching.
http://www.energyfields.org
http://www.laleva.cc/environment/taskforce_eng.html
http://www.health-concerns.org
http://www.electric-words.com/cell/references/radfrm.html
http://www.feb.se/index_int.htm
http://www.salzburg.gv.at/celltower/english/start_e.html
http://wbldb.femu.rwth-aachen.de/
http://www-nt.who.int/peh-emf/emfstudies/database.cfm
http://www.emrnetwork.org
http://www.wave-guide.org
http://www.microwavenews.com/
You mentioned that a lab is going to do test for you to see what they come up with. I wish i can get that same help althoug my condition is from something else. I will pay the lab for their services. I am in florida. This microscope you mentioned
can i get it somewhere else to buy if so can you post the info so tht i can purchase this microscope. Right now i am ithcing so badly. But i feel somehow i am not alone. which is a bit comforting.
If you go to our website:
www.Morgellons.org
There is a link on the website for"Inexpensive Microscopes". There is information here on the microscope that was used to create the pictures on the website. Some local Toys R Us are still selling their remaining stock of this microscope, which is the "Intel Play QX3" for around $30. This is an unbelievable bargain, as it is equipped with a digital microscopic camera and save pictures directly to your hard drive.
EMail us through the website for more information.
Best wishes,
Mary
Thank you for your time.
I hope you realize this is not a Dr answering your inquiry. I am just a board poster like you.
However, I did find quite a lot of info on the net about how irritating concret can be to human skin.
See the following excerpt at:
THE CENTER TO PROTECT WORKERS' RIGHTS
http://www.cdc.gov/niosh/elcosh/docs/d0200/d000281/d000281.html
Excerpt:
"This is for a worker who works with cement to take to his/her doctor.
The patient presenting this pamphlet is a construction worker who has frequent occupational contact with caustics, acids, and sensitizers.
Please keep this information for reference in the patient's file to aid in evaluation of possible skin conditions.
Your patient is a construction worker with exposure to wet cement.
Construction workers are exposed to a number of chemicals known to cause irritant and allergic dermatitis.
Portland cement, found in plaster and in concrete mixes, is extremely alkaline. Wet plaster also contains slaked lime, or calcium hydroxide, which is even more caustic than Portland cement.
Further, Portland cement contains trace amounts of hexavalent chromium. Hexavalent chromium is a strong sensitizing agent responsible for allergic dermatitis in cement workers around the world.
Other sensitizing agents include various epoxy adhesives and sealants in addition to various chemicals present in the admixtures used with cement and plaster.
Finally, construction workers may use products such as lanolin creams or lotions to soften their skin. Lanolin is a sensitizing agent. Some industrial hand cleaners contain limonene, also a sensitizing agent. The rubber in rubber gloves also may cause allergic dermatitis.
This pamphlet contains a partial listing of skin disorders, potential etiologic agents, and possible medical surveillance.
Please maintain this in your patient's file. Sources of additional information about occupational dermatitis are printed on the back.
The Center to Protect Workers' Rights
http://www.cdc.gov/niosh/elcosh/docs/d0200/d000281/d000281.html
This says to avoid lotions with lanoline? He always uses creams and lotions to soften skin. Also, Tea Tree, would be good to bathe in? Are there more web sites with this kind of info?
Thank you so much for the lead!
The best way that I have found to do a search is to go to this site:
www.Google.com
Put your search words into the search box and then click the "search Google" button. you can add more specific words if you want to narrow the search, i.e. if way too many sites come up.
I put these words into the search field:
Cement dermatitis
You could add a third word, to get more specific sites, such as:
Cement dermatitis specialist
or you could try:
Cement dermatitis dermatologist
Lots to read!
Best wishes to you both!
Mary
Skin Researcher, if you want to diagnose your son with a $7.99 toy instead of taking him in to a real doctor with years of education and experience (and for FREE!) and sophisticated equipment, then it's not your son that needs the help.
You sure sound angry. I cannot imagine what I did to anger you. Nope, I only spent the $19 for posting priveleges one time. I am an honest person and do not post under other guises. Not my style.
In response to me not taking my son to a "real Doctor", we have a real, highly qualified Board certified dermatologist who treats my son. I hardly avoid medical care, as we have seen 5 pediatricians, 2 dermatologists, 2 infectious disease specialists and one allergist. All are stumped.
Please make sure you read accurately. Why so hostile?
Whazzup with THAT??? Sooze
I understand your perspective. I understand the prespective of Dr. Rockoff as well. For all he knows, I have invented every word of what I posted. He really does need to see this in person.
I have been trying to locate people with this unknown disease near Dr. Rockoff's office, since I am about 700 miles away and can't visit his office or I would.
I have also communicated Dr. Rockoff's interest in this disease to the organization who has the database of over 2,000 patients with this disease. The organization is the National Pediculosis Association, located in suburban Boston:
Reporting Registry - "Not Lice" Report
http://www.headlice.org/report/notlice.htm
I cannot be reponsible if this organization has not contacted Dr. Rockoff. I certainly wish they would get his opinion.
I believe the more opinions, the better.
Some people with this disease have expressed concern to me that Dr. Rockoff seems to doubt this disease's existence. I believe that is a good thing, since he will not be trying to prove our hypothesis (ie that the disease symptoms are caused by an Organism), he will be making his own, objective opinion, based on physical evidence alone.
I could not ask for more than that. Please know that I am trying hard to find someone willing to see him.
My son's dermatologist is a fine man, university affiliated and does not understand what is causing the fibers.
Best wishes,
Mary
I find it very odd that chilipeppper has an unidentified bump and for whatever reason has turned to an internet doctor for answers? Why would you need to come here if answers, all answers are easliy come by through a regular doctor visit? It's because not all answers are easily attained. I can only hope that you find the answers you need before your condition worsens and or affects different aspects of your life, until then feel free to cause more doubt and throw around more inuendos. Have you ever thought about practicing medicine? You have the starter kit, doubt, an air of conceit along with the ability to pass judgement without trying to understand all of the facts. This has been the saddest most difficult thing about having a skin disorder that is unknown. I have read Dr. Rockoff's reponses to people for a very long time, in many of them he states that there are many things that remain ellusive to the medical field. Things that they yet have to find answers or understand. If you choose to go to Google and simple put in psoriasis or eczema, things that are diagnosable, you'll soon learn that they still don't know what causes it. I think I'm safe in saying the medical field is a ongoing learning process. Hence the phrase,"practicing medicince". Skin researcher (Mary) has to remain vague when talking about doctors and other researchers and labs that are involved, it's a burden that many who are involve share. It's because of this type of response that makes people who have the technology hide in their labs. Would you put your name and the name of your institution out there for this kind of nay saying before it even got started? How do you think things are researched and or discovered? You'll never read a step by step, blow by blow description of what is taking place in a lab on the front page of a news paper. Why would you think this is any different. And this good doctor knows it. Shame on him for casting the first stone of doubt and shame on him for not gathering his own stones back. Only time will tell how valid our pleas are, in the end I hope something good comes of it, for everyone. Even for chilipepper's "bump".
I haven't read all the post ,but have this leasion with fibers.
I beleive they are fiberglass fibers. Yes, there is a cover -up will post more. 9 months
Willing to accept any research or doctors view
in search