“…There is now a growing consensus that the skin and scrotal changes just described are the result of long-standing protein-rich lymphoedema whether due to filarial infection or to any other less-common cause, i.e. these changes are in no way pathognomonic of filariasis (Casley-Smith & Gaffney, 1981;Dean, Playfair, Denham & Noscoe, 1983). It is, further, still unclear how filarial infection brings about severe, chronic lymph stasis of this kind.…”