8 Tweets 114 reads Sep 11, 2022
A 49-year-old woman πŸ‘‰ morbid obesity, hypertension πŸ‘‰ extensive areas of redness and weeping sores on her legs
πŸ‘‰ 8-year history of chronic venous stasis and lymphedema
πŸ‘‡
Physical πŸ‘‰ chronic changes of dependent edema with hyperkeratosis, papillomatous plaques, πŸ‘‰ loosely adherent crust πŸ‘‰ cobblestone-like nodules πŸ‘‰ to the thigh
...along with more acute changes πŸ‘‰ erythema up to the knee πŸ‘‰ weeping superficial ulcer on the antr aspect of the left leg below the calf
Venous Doppler studies of the legs and feet πŸ‘‰ no evidence of DVT
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These changes πŸ‘‰ result of chronic venous stasis are known as elephantiasis nostras verrucosa.
There is often no history of filariasis, πŸ‘‰ patients often have lymphangitis, cellulitis, scleroderma, and obesity
πŸ‘‰ treated with wound care πŸ‘‰ a brief course of antimicrobial therapy
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The erythema and warmth improved after 2 days.
Elephantiasis nostras verrucosa.
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manualofmedicine.com
Elephantiasis Nostras Verrucosa Etiologies
elephantiasis nostras verrucosa.
elephantiasis nostras verrucosa
A report

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