AI Article Synopsis

  • Elephantiasis nostras verrucosa refers to lymphedema in the lower limbs that is not caused by filarial infections, with triggers including bacterial and fungal infections, chronic venous stasis, and other health issues.
  • A case study details a 70-year-old man who experienced extensive nonpitting edema in his left leg, accompanied by a distinct cobblestone texture and specific signs for lymphedema.
  • Histological analysis of a plaque on his ankle revealed it to be tuberculosis verrucosa cutis (TVC), highlighting a rare instance of TVC causing unilateral lymphedema.

Article Abstract

Elephantiasis nostras verrucosa is used to describe lymphedema of the lower limbs caused by a nonfilarial etiology. Infective etiologies include bacterial and fungal infections along with chronic venous stasis, postirradiation, congestive heart failure, obesity, and malignancies, all causes leading to lymphatic obstruction and edema. We herein describe a case of a 70-year-old male who presented with diffuse nonpitting edema of the entire left lower limb with cobblestoning of the surface with a positive Kaposi-Stemmer sign and presence of a verrucous plaque over the left ankle. Histopathology of the verrucous plaque revealed it to be tuberculosis verrucosa cutis (TVC). We report this rare presentation of TVC as a cause of unilateral lymphedema.

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Source
http://dx.doi.org/10.4103/ijmy.ijmy_38_19DOI Listing

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