Dr. Rahim Karjoo M.D., F.A.S.C.P.

Doctor Karjoo is offering a free initial consultation to sufferers of this real condition.

You may always contact our office at

(888) RKarjoo

(714) 636-0261  & (714) 636-0211


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Morgellons Case Reports

Case 1 image 1,2,3,4,5,6

Case 2 image 1,2,3,4,5

Case 3 image 1

Case 4 image 1,2,3,4,5

Case 5 image 1,2,3

Case 6 image 1,2,3,4,5

Case 7 image 1

Case 8 image 1,2,3,4,5

Presentation of Case 1






Image 1 Case 1 shows bunch of fibers from patients with morgellons disease (X20)






Image 2 Case 1 is a higher magnification of Image 1 Case 1 showing structure of hair with Trichorrhexis invaginata (X40)






Image 3 Case 1 Showing kinking of hair structure from Image 1 Case 1 (X20)






Image 4 Case 1 is the beginning of the fibers showing hair follicle structure (X10)






Image 5 Case 1 is a higher magnification of hair follicle of Image 4 Case 1(X20)






Image 6 Case 1 is a higher magnification of Image 5 (X40)


Presentation of Case 2


Image 1 Case 2 showing hair follicle with pigmentation. The pigmentation is due to tufted follicle (X10)

Image 2 Case 2 is a higher magnification of Image 1 Case 2 (X20)

Image 3 Case 2 is a higher magnification of hair follicle of Image 2 Case 2 (X40)

Image 4 Case 2 Trichorrhexis nodusa of hair (X10)

Image 5 Case 2 is a higher magnification of Image 4 (Trichorrhexis nodusa) (X40)

Presentation of Case 3


Image 1 Case 3 shows silicone, silica particles (nanoparticles) are seen on skin surface of most morgellons disease cases. (X40)

Presentation of Case 4


Image 1 Case 4 shows polyurethane and other nanoparticles on the surface of skin. (X40)

Image 2 Case 4 shows abundant polyurethane on the surface of skin of morgellons (X10)

Image 3 Case 4 shows polyurethane and silicone on skin of morgellons (X40)

Image 4 Case 4 shows superficial invasion of polyurethane nanoparticles on the skin (X40)

Image 5 Case 4 shows nanoparticle inside keratin of the skin.(X40)

Presentation of Case 5

Image 1 Case 5 shows abundant mycelia and spore of fungi on surface of skin (X40)

Image 2 Case 5 shows abundant spore of fungi on skin of morgellons (X40)

Image 3 Case 5 shows abscess formation on the skin of morgellons (X40)

Presentation of Case 6


Image 1 Case 6 is a skin biopsy surface showing two superficial infundibula surrounding fibrosis and inflammation of hair follicle (X20)

Image 2 Case 6 shows inflammation with gluey material extracted from the surface of skin with inflammation (X20)

Image 3 Case 6 shows two infundibula with hair follicle extended to the surface with ulceration and hemorrhage (X20)

Image 4 Case 6 shows more destruction and ulceration of skin due to extraction of hair follicle and inflammation (X20)

Image 5 Case 6 same as Image 4 Case 6 with presence of hair and hair follicle outside of the skin surrounded by gluey material (X20)

Presentation of Case 7


Image 1 Case 7 shows tear of epithelium with inflammation and abscess formation on the surface of skin (X10)

Presentation of Case 8

Image 1 Case 8 bunch of hair ( fiber ) showing hair follicle at the beginning of the hair. (X20)

Image 2 Case 8 Monilethrix. Hair showing nodal area (X20)

Image 3 Case 8 shows a higher magnification of Image 2 Case 8 (X40)

Image 4 Case 8 shows bubble hair, a collapse of hair shaft (X20)

Image 5 Case 8 Pili annulati. The dark area represents splits within the hair cortex (X20)


According to our microscopic findings we conclude that Morgellons disease is a hair and hair follicle disease with changes such Trichoschisis, Trichothiodystrophy and Trichorrhexis with tufted folliculitis, scarring perifollicular and other hair changes and mostly accompanied with ulceration, inflammation, and infection of skin. More than 80% of the cases combined with presence of the particles such as silicone, silica, and polyurethane on the surface or deeper part of the skin.


Pathology of the Skin with clinical correlation, Mc Kee, Phillip, Calonje,

Eduardo, Granter, Scott, Vol. 2, 3rd Edition, Diseases of the hair, Chapter 20, 2005-2006

Rahim Karjoo, MD, FCAP, FASCP

12665 Garden Grove Blvd
Suite 111 & 113

Garden Grove, CA 92843

Phone: (714) 636-0261

[email protected]
Office Hours 8:00am to 5:00pm
Monday - Friday PDT

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