title: Elephantiasis nostras verrucosa successfully treated by surgical debridement.
abstract: BACKGROUND
  Elephantiasis nostras verrucosa represents a rare group of cutaneous changes comprising dermal fibrosis, hyperkeratotic, verrucous, and papillomatous lesions after chronic secondary, nonfilarial lymphedema. There is no standard treatment for this rare cutaneous manifestation.
  
  
  OBJECTIVE
  This article describes debridement that is helpful when performed in addition to physiotherapy.
  
  
  METHODS
  We present a patient who was treated by shaving the verrucous area with a blade of a freehand knife and by subsequent abrading of the mossy area using a motor-powered grinder.
  
  
  RESULTS
  Reepithelization was completed in 2 weeks. A compression stocking was used to treat the lymphedema. Ten months after the operation, we saw no signs of disease recurrence. The result was also aesthetically satisfactory.
  
  
  CONCLUSIONS
  Surgery in such case may not always be the best treatment because it does not treat the cause of disease but only treats the cutaneous symptoms. Nevertheless, debridement is a rapid and an aesthetically acceptable form of treatment.
authors.affiliation: Department of Dermatology, Hokkaido University Graduate School of Medicine, Sapporo, Japan.
authors.forename: Fumiya
authors.initials: F
authors.lastname: Iwao
authors.forename: Kazuko C
authors.initials: KC
authors.lastname: Sato-Matsumura
authors.forename: Daisuke
authors.initials: D
authors.lastname: Sawamura
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Shimizu
mesh_terms: D000328:Adult; D003646:Debridement; D003937:Diagnosis, Differential; D004604:Elephantiasis / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D006801:Humans; D053685:Laser Therapy; D007868:Leg Dermatoses / Q000175:diagnosis / Q000473:pathology / Q000601:surgery*; D008297:Male; D011051:Poliomyelitis