Many people with this condition experience severely itchy, painful skin. You might see sores or broken skin appear, along with very thin, fiber-like substances seemingly emerging from those breaks.
Sometimes, people also describe white granules separating from their skin. Without physical samples for a lab to analyze, doctors often have to decide whether to accept these accounts at face value or seek alternative explanations. Many medical professionals believe these fibers actually come from clothing rather than the skin itself.

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