Many sufferers have these kind of wounds and white depigmentation spots. These are caused by Borrelia and other bacteria and or by the fungus-like organism, which is converting and absorbing (enzymatic metabolism) keratin and melanin from skin cells and perhaps directly from melanocytes. Melanocytes produce melanin as a natural skin protection (e.g. UV-light).

Underneath these white spots, the microorganisms are constantly metabolizing human cells and producing perhaps some toxins too, sometimes causing a super-infection with non-healing open wounds or a very slow healing process. Flies (Myiasis) and other insects can settle and lay eggs inside these open wounds.