title: Mossy leg--an unusual therapeutic success.
abstract: Elephantiasis verrucosa nostrum occurs when lymphatic obstruction of sufficient magnitude causes back pressure in the lymphatic channels forceful enough to produce superficial vessel dilation which has a "pebbly" or cobble-stone appearance. Unchecked this can progress to a marked verrucous or mossy appearance, frequently complicated by infection, with swelling and gross deformity. The patient presented here was both post-phlebitic and post-lymphatic with significant deformity. He showed dramatic improvement on a regimen of antibiotics and elevation followed by decompression and routine use of pressure-gradient support garments. This has not recurred and he has remained under control since 1979.
mesh_terms: D000368:Aged; D003020:Clothing; D003023:Cloxacillin / Q000627:therapeutic use; D003131:Combined Modality Therapy; D004604:Elephantiasis / Q000150:complications / Q000209:etiology / Q000628:therapy*; D006801:Humans; D007868:Leg Dermatoses / Q000209:etiology / Q000628:therapy; D008205:Lymphangitis / Q000150:complications / Q000188:drug therapy; D008209:Lymphedema / Q000628:therapy*; D008297:Male; D008722:Methods; D011312:Pressure
chemical_list: D003023:Cloxacillin