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  • Symptoms such as fatigue, neurological disorders, and joint pain suggest systemic involvement as well as dermopathy.19???22 Peripheral neuropathy, delayed capillary refill, abnormal Romberg???s sign, decreased body temperature, tachycardia, elevated proinflammatory markers, and elevated insulin levels are reported to be objective clinical evidence of the disease.23Figure 2Morgellons disease.
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