title: Warty skin changes, chronic scrotal lymphoedema, and facial dysmorphism.
abstract: We present the case of a 49-year-old Caucasian man whose main complaints were wart-like skin changes and scrotal lymphoedema. Furthermore, our patient showed signs of a common hereditary disease: lymphoedema, short stature, webbed neck, low frontal and posterior hairline, downslanting palpebral fissures, pale blue iris, broad nose, flat philtrum, and prominent nasolabial folds. His ears were low set and retroverted with a thick helix. However, no diagnosis was made for 49 years. The interdisciplinary dialogue of various specialists to make the final diagnosis is presented and discussed.
authors: University Medicine of Mannheim, Department of Dermatology, Venerology and Allergology, Mannheim, Germany. moritz.felcht@umm.de
authors: Moritz
authors: M
authors: Felcht
authors: Nicola
authors: N
authors: Dikow
authors: Matthias
authors: M
authors: Goebeler
authors: Philipp
authors: P
authors: Stroebel
authors: Nina
authors: N
authors: Booken
authors: Urs
authors: U
authors: Voßmerbäumer
authors: Kirsten
authors: K
authors: Merx
authors: Thomas
authors: T
authors: Henzler
authors: Alexander
authors: A
authors: Marx
authors: Ute
authors: U
authors: Moog
authors: Sergij
authors: S
authors: Goerdt
authors: Claus-Detlev
authors: CD
authors: Klemke
mesh_terms: D002913:Chyle; D003937:Diagnosis, Differential; D006801:Humans; D008200:Lymphangiectasis / Q000151:congenital; D008297:Male; D008875:Middle Aged; D009634:Noonan Syndrome / Q000175:diagnosis*; D014860:Warts / Q000151:congenital