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10.25259/JSSTD_29_2020
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Lymphostatic verrucosis

Department of Dermatology, Venereology and Leprosy, Government Medical college, Kozhikode, Kerala, India
Corresponding author: Ruba Farsha, Department of Dermatology, Venereology and Leprosy, Government Medical college, Kozhikode, Kerala, India. rubafarsha@gmail.com
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How to cite this article: Farsha R, Premachandran M. Lymphostatic verrucosis. J Skin Sex Transm Dis, doi: 10.25259/JSSTD_29_2020

A 32-year-old male patient presented with recurrent episodes of fever, redness, and painful edema of the right leg and pain over the right inguinal region of 20 years duration with edema persisting in between exacerbations. On examination, there was non-pitting pedal edema predominantly over the dorsum of the right foot. Dermatological examination revealed multiple discrete and pedunculated papules and plaques with verrucous surface over the dorsal [Figure 1] and the lateral [Figure 2] aspects of the right foot and 2nd to 4th toes. Kaposi-stemmer sign was positive.

Figure 1:: Verrucous papules and plaques of lymphostatic verrucosis over the dorsal aspect of the right foot and 2nd to 4th toes.
Figure 2:: Pedunculated verrucous plaques of lymphostatic verrucosis on the lateral aspect of the right foot.

Lymphostatic verrucosis, also known as elephantiasis nostras verrucosa, is a rare form of chronic lymphoedema that causes progressive cutaneous hypertrophy leading to severe disfigurement of body parts (especially of lower limbs) with gravity dependent blood flow.

Declaration of patient consent

The authors certify that they have obtained all appropriate patient consent.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

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