A Case of Exuberant Elephantiasis Nostras Verrucosa

Santiago, Luís; Coutinho, Inês; Brites, Maria Manuel

doi:10.20344/amp.8363

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2019

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“…Currently, there is no universal practice in the management of ENV. Although it is difficult to handle with, early recognition and treatment of this unusual entity is the key to achieve a satisfactory result 9. The main target of any therapy should be the reduction of the lymphoedema and exudation.…”

Section: Discussionmentioning

confidence: 99%

Elephantiasisnostras verrucosain the setting of lymphoedematardaand neurofibromatosis type 1

et al. 2019

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Elephantiasis nostras verrucosa (ENV) comprises an uncommon skin disease characterised by dermal fibrosis with hyperkeratotic, verrucous and papillomatous lesions that usually occur after chronic lymphoedema. We describe the case of a 56-year-old-man with neurofibromatosis type 1, no known surgical history, no chronic medication and no travel history, presenting with worsening non-pitting oedema and impressive foul-smelling mossy plaques and cobblestone-like nodules in both legs and feet, especially on the right, compatible with the diagnosis of ENV.

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Section: Discussionmentioning

confidence: 99%