Warty changes overlying the ankle - there is underlying both venous and lymphatic insufficiency (ENV-patient3)
Keywords: Clustered verrucous papules, Erythema, Leg, Lichenification, Mossy appearance, Thick adherant scales, Thickened epidermis, Verrucous texture
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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