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Elephantiasis nostras verrucosa showing marked lymphoedematous swelling of the toes, ankles, and lower legs with nodular lesions and overlying hyperkeratosis
Keywords: Bilateral leg, Crusting, Erythema, Foot, Lichenification, Lymphoedema, Male, Mossy appearance, Nodular fibrosis, Overlying verrucose papulonodules
Elephantiasis nostras verrucosa (ENV) is a rare and severe form of chronic lymphoedema. It leads to cutaneous changes including scarring, non-pitting oedema, hyperkeratosis, cobblestone-like papules, and indurated plaques on gravity-dependent body parts.
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Source: dermnetnz.org