Morgellons
"The neutrality of this article is disputed.
Please see the discussion on the talk page.(May 2008)
Please do not remove this message until the dispute is resolved." http://en.wikipedia.org/wiki/Morgell...athophysiology The 2007 Atlas of Human Parasitology states:
Many dermatologists refute the suggestion that this is an actual disease but instead indicate that many of these patients have psychological problems or other common skin disorders.
Given the large numbers of individuals who feel that they have this affliction, it will be most helpful over the coming years to have a valid scientific assessment of Morgellons diesease and its possible etiology (or etiologies). One of the chief criticisms by many patients has been that they feel the medical community and other scientists consulted have not been open to the idea that there is possibly an as yet undescribed infectious or physiologic causation for the disease.
Hello all,
Do any of you know who these "many" expert parasitologists, entomologists, and other microbiologists are??
Have any of you had any of these kind of professionals to even give any of your lesions a good "glance", much less determine that biological organisms aren't present?
If you have, PLEASE reveal who these professionals are!!
Niecy :)
However it is certainly true that in fact many expert parasitologists, medical entomologists and other microbiologists have in fact carefully examined fibers and other materials expressed or extracted from such patients and found that biological organisms are not present.
Although an apparent association of the condition with the presence of Lyme disease has been reported (Savely et al, 2006, Am J Clin Dermatol, 7:1–6), further research will be needed to help resolve the validity of Morgellons disease. Until then, whether Morgellons disease is another name for delusional parasitosis or a real disease entity with a biologic or physiologic basis will remain up in the air.[31]
Environmental toxins
Richard Fagerlund, an entomologist who has a column titled "Ask the Bugman" in the San Francisco Chronicle, stated that he takes Morgellons disease seriously, and he receives letters from people with Morgellons symptoms daily. Twenty years ago, he got three to four letters like this a year. He believes the condition is reaching epidemic proportions and theorizes only a small percentage of cases are delusional parasitosis, while the rest may be caused by something else, such as pollutants, especially pesticides.[3 Treatment
[edit] Treatment for delusional parasitosis
Many dermatologists treat Morgellons as delusional parasitosis. After a thorough medical examination to rule out known organic causes for the symptoms, delusional parasitosis patients are typically prescribed one of several typical antipsychotic drugs.[40][41] In the past, pimozide was the drug of choice; in addition to antipsychotic activity, it also has antipruritic activity, meaning it inhibits the sensation of itching.[42] However, pimozide requires frequent electrocardiographic monitoring.[41] Currently, atypical antipsychotics such as olanzapine or risperidone are used as first line treatment.[41] Antipsychotics are effective at treating delusional parasitosis at doses as low as one-fifth to one-tenth the dose typically prescribed for schizophrenia.[41] It is common for patients who believe they have Morgellons to reject a physician's diagnosis of delusional parasitosis.
This next excerpt is the most maddening thing that I have read as yet, although I must say, I figured it was coming.....
It has been suggested that the term Morgellons should be adopted by dermatologists to enhance their rapport with their patients, allowing them to overcome this resistance.[43]
[edit] Treatment for infectious disease
People who say that they have Morgellons will frequently reject the diagnosis of delusional parasitosis[44] and, "report that their symptoms are not taken seriously."[17]
There are medical practitioners that hypothesize Morgellons is an infectious process, including several associated with the MRF, who will listen to patient's symptoms, examine them, order laboratory tests, and treat Morgellons symptoms accordingly, including the use of antibiotics, antifungals, antiparasitic medications, herbal supplements, and light therapy.[45][18][46][44][6][19][47] Physicians associated with the Morgellons Research Foundation have reported that some Morgellons patients who test positive for Lyme disease obtain symptom relief using aggressive, long-term antibiotic treatment for chronic Lyme disease. However, if the treatment is discontinued the symptoms return.[27][17][28]