Melissa McElroy - Fesler, FNP-BC

Scientific Advisory Board
San Francisco, CA
Family Nurse Practitioner
Union Square Medical Associates


Melissa is a board certified Family Nurse Practitioner with experience in Urgent Care Medicine. She currently works with Raphael B. Stricker, MD at Union Square Medical Associates in San Francisco, CA where she specializes in the treatment of tickborne disease and Morgellons Disease.
Melissa received a B.S. in Medical and Public Health Microbiology, and Minor in Biotechnology from Cal Poly San Luis Obispo, and B.S. in Nursing from Samuel Merritt University, graduating Summa Cum Laude. She worked as a registered nurse in dermatology prior to receiving her M.S. in Nursing as a Family Nurse Practitioner from Georgetown University. Melissa is member of the California Association for Nurse Practitioners (CANP), American Association of Nurse Practitioners (AANP), American Nurses Association (ANA), and the International Lyme and Associated Diseases Society (ILADS). Melissa serves on the Medical Advisory Board for the Charles E. Holman Morgellons Disease Foundation.


Topic: Morgellons Disease Testing and Diagnosis

Abstract: Morgellons Disease (MD) is a persistent multisystem illness characterized by epithelial overproduction of keratin and collagen. Multiple peer reviewed journal articles demonstrate the presence of Borrelia burgdorferi in individuals diagnosed with MD. Detection of Borrelia sp. and tickborne coinfections faces many challenges due to varying specificity and sensitivity of available diagnostic tests. However, both direct and indirect methods can be used in combination with a comprehensive medical examination to make the diagnosis of MD. This presentation will discuss methods of Borrelia sp. and associated tickborne disease detection in MD, and provide relevant information for patients and clinicians facing difficulties with diagnosing the infectious etiologies associated with MD.