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Image Number #1973 (Elephantiasis verrucosa nostrum)

Diagnosis: Elephantiasis verrucosa nostrum

Description: Grossly thickened skin

Morphology: Swelling

Site: Ankle

Sex: M

Age: 73

Type: Clinical

Submitted By: Ian McColl

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Differential Diagnosis
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History: An elderly diabetic with a previous history of 2 deep venous thromboses, developed these edematous legs. Chronic cellulitis has led to destruction of the lymphatics and chronic edema has induced reactive thickening of the overlying epidermis.

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