There are two main explanatory components. The first has to do with the stem cells that become the various features of skin and the matrix I which that skin grows, the cytoplasmic skeleton. These account for the non-fibrous detritus (excluding the apparent metallic debris). The second concerns the tiny protein fibers and amino acids in the cytoskeletal layer, a dynamic web consisting of tiny protein fibers. The properties of the cytoskeleton, both in their structural composition and function produce unfamiliar mechanical properties, but explain the most implausible part of the disease - the fibers' properties.
The "metal" and "nano tubes" are common forms of the elements found within human skin stem cells in crystallized form (either minerals or bio minerals), explaining their improbably exact geometric shapes, habits in formation, coloration/iridescence, and opacity/transparency. Adhering to other detritus, they looked like biomechanical parts. To a rock hound and mineral enthusiast, the structures are recognizable as mineralization in its early molecular stages. Notably, various forms of apatite crystallize in small hexagonal iridescent discs (which in other contexts elongates as layers form to make a crystal). They are also found commonly in fibrous form. There are many reputable mineralogists who might help in identification.
It might be helpful to read this before we go on. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2405915/pdf/nihms-44878.pdf "Epidermal Stem Cells of the Skin."
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