Morgellons disease, a controversial, newly emerging skin disease, is not usually included in the differential diagnosis of patients presenting to the emergency department with dermatologic complaints. Delay in diagnosis may result in months or years of suffering for patients who are routinely misdiagnosed with incorrect psychiatric or dermatologic conditions. A patient's case is presented in this article. The patient history, differential diagnosis, and distinctive features of Morgellons disease are discussed so that advanced practice nurse and physician providers may gain a knowledge base for clinical practice.
TBD Medical Associates, San Francisco, California (Dr. Savely); California State University, Dominguez Hills, Carson, California and Center for Learning, Research, and Innovation, Veterans Administration, Greater Los Angeles Healthcare System, Los Angeles, California (Dr. Kennedy); and California State University, Dominguez Hills, Carson, California, and Community Living Centers, Veterans Administration, Greater Los Angeles, Los Angeles, California (Dr. Ernst).
Corresponding Author: Dr. V. R. Savely, DNP, MEd, APRN, FNP-C, TBD Medical Associates, 450 Sutter Street, Suite 1504, San Francisco, CA 94108 (firstname.lastname@example.org)