Many of the people with this condition complain that their skin is so itchy and it gives them pain. They also see sores or broken skin appear, and very thin segments of the skin or fiber-like substances come out of these breaks in the skin. Sometimes they describe how white granules separate from their skin. Unless doctors have physical samples to send for laboratory analysis, it comes down to a question of whether you accept the patient's account at face value, or reject it for lack of solid evidence. Many doctors believe the fibers really come from the patient's clothing rather than their skin.
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