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Published on: February 4, 2018
Association of spirochetal infection with Morgellons disease
Marianne J Middelveen1, Divya Burugu2, Akhila Poruri2
1International Lyme and Associated Diseases Society, Bethesda, MD, 20827, USA.
Abstract:
Morgellons disease (MD) is an emerging multisystem illness characterized by skin lesions with unusual filaments embedded in or projecting from epithelial tissue. Filament formation results from abnormal keratin and collagen expression by epithelial-based keratinocytes and fibroblasts. Recent research comparing MD to bovine digital dermatitis, an animal infectious disease with similar skin features, provided clues that spirochetal infection could play an important role in the human disease as it does in the animal illness. Based on histological staining, immunofluorescent staining, electron microscopic imaging and polymerase chain reaction, we report the detection of Borrelia spirochetes in dermatological tissue of four randomly-selected MD patients. The association of MD with spirochetal infection provides evidence that this infection may be a significant factor in the illness and refutes claims that MD lesions are self-inflicted and that people suffering from this disorder are delusional. Molecular characterization of the Borrelia spirochetes found in MD patients is warranted.
Insights
Morgellons disease (MD) patients show Borrelia spirochetes in skin lesions. This finding suggests a spirochetal infection may cause MD, challenging previous theories of self-infliction.
Area of Science:
- Dermatology
- Infectious Diseases
- Microbiology
Background:
- Morgellons disease (MD) is a complex illness with unexplained skin lesions and embedded filaments.
- Filament formation is linked to abnormal keratin and collagen expression.
- Similarities to bovine digital dermatitis suggest a potential spirochetal role in MD.
Purpose of the Study:
- To investigate the presence of spirochetes in skin biopsies from Morgellons disease patients.
- To explore the potential role of Borrelia spirochetes in the pathogenesis of MD.
Main Methods:
- Histological staining of skin tissue.
- Immunofluorescent staining techniques.
- Electron microscopic imaging.
- Polymerase chain reaction (PCR) analysis.
- Analysis of dermatological tissue from four MD patients.
Main Results:
- Detection of Borrelia spirochetes in the dermatological tissue of all four randomly-selected MD patients.
- Evidence supporting an association between MD and spirochetal infection.
Conclusions:
- The presence of Borrelia spirochetes in MD lesions suggests a significant role for spirochetal infection in the disease.
- Findings challenge the notion that MD lesions are self-inflicted or that patients are delusional.
- Further molecular characterization of the identified Borrelia spirochetes is recommended.
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