Han, Hyun Ho Lim, Soo Yeon Oh, Deuk YoungĮlephantiasis nostras verrucosa is a chronic lymphedema that causes enlarged and disfigured extremities. Successful Surgical Treatment for Elephantiasis Nostras Verrucosa Using a New Designed Column Flap. We present a case report of elephantiasis nostras verrucosa arising as a result of lymphedema praecox.
The term elephantiasis nostras ( nostras means "from our region") has traditionally been used to differentiate temperate zone disease from the classic disease process, elephantiasis tropica, which is defined by chronic filarial lymphatic obstruction caused by Wuchereria bancrofti, Wuchereria malayi, or Wuchereria pacifica. Although elephantiasis nostras verrucosa is striking in clinical appearance, biopsy reveals only moderately abnormal findings: pseudoepitheliomatous hyperplasia with dilated lymphatic spaces in the dermis, accompanied by chronic inflammation and fibroblast proliferation. It is characterized clinically by deforming, nonpitting edema malodorous hyperkeratosis with generalized lichenification cobblestoned papules and verrucous changes, that often result in extreme enlargement of the involved body part. We present a 64-year-old man with erythrodermic psoriasis and elephantiasis nostras verrucosa in whom the lesions were resolved almost completely after acitretin treatment.Įlephantiasis nostras verrucosa or "mossy foot lesions" in lymphedema praecox: report of a case.ĭuckworth, Amy L Husain, Jugnoo Deheer, PatrickĮlephantiasis nostras verrucosa is a rare disorder that results from chronic obstructive lymphedema. Various treatment options have been reported for this disease. In this report, we present a patient who was treated by below knee amputation as a result of elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis.Ī case of elephantiasis nostras verrucosa treated by acitretin.Įlephantiasis nostras verrucosa is a rare disorder characterized by dermal fibrosis, hyperkeratotic, verrucous, and papillomatous lesions that result from both chronic filarial and nonfilarial lymphedema. Therapeutic efforts should aim to reduce lymph stasis, which will also lead to improvement of the cutaneous changes but unfortunately there is no specific treatment for advanced cases. Although recurrent streptococcal lymphangitis is believed to play a critical role in the origin of elephantiasis nostras verrucosa, the exact pathogenesis of the disorder is not yet clear. Turhan, Egemen Ege, Ahmet Keser, Selcuk Bayar, AhmetĮlephantiasis nostras verrucosa represents an infrequent clinical entity with cutaneous changes characterized by dermal fibrosis, hyperkeratotic verrucous and papillamotous lesions resulting from chronic non-filarial lymphedema secondary to infections, surgeries, tumor obstruction, radiation, congestive heart failure, and obesity. Elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis.
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