title: Excision of Elephantiasis Nostras Verrucosa Lesions in a Patient With Hereditary Lymphedema: Case Report and Review of the Literature.
abstract: Elephantiasis nostras verrucosa (ENV) is a rare cutaneous sequela of chronic lymphedema. Treatment of ENV remains poorly elucidated but has historically involved conservative management aimed at relieving the underlying lymphedema, with a few cases managed by surgical intervention. We report a case of a 27-year-old male with primary lymphedema complicated by large painful ENV lesions on his left foot that we excised surgically with good functional and cosmetic results as validated by the patient. To our knowledge, this is the first report of a case of ENV with a pedunculated morphology and the presence of a deep invasive stalk.
authors.affiliation: Columbia University College of Physicians and Surgeons, New York, NY.
authors.forename: Austin A
authors.initials: AA
authors.lastname: Pitcher
authors.affiliation: Weill Cornell Medical College, New York, NY.
authors.forename: Carlos A
authors.initials: CA
authors.lastname: Pagan
authors.affiliation: Weill Cornell Medical College, New York, NY.
authors.forename: Kevin
authors.initials: K
authors.lastname: Small
authors.affiliation: Weill Cornell Medical College, New York, NY. Electronic address: dmo9004@med.cornell.edu.
authors.forename: David M
authors.initials: DM
authors.lastname: Otterburn
mesh_terms: D000328:Adult; D004604:Elephantiasis / Q000209:etiology / Q000601:surgery*; D005528:Foot / Q000601:surgery*; D006801:Humans; D008209:Lymphedema / Q000150:complications*; D008297:Male
keywords: biopsy; elephantiasis nostras verrucosa; lymphedema; surgical excision