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Elephantiasis nostras verrucosa: successful surgical treatment in a gross deformity.

Gacto-Sánchez P, Fernandez-Ortega P, Pereyra-Rodríguez JJ - Indian J Dermatol (2009)

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Sir, Elephantiasis nostras verrucosa (ENV) is a rare, chronic, deforming disorder characterized by hyperkeratosis and papillomatosis of the epidermis with underlying woody fibrosis of the dermis and subcutaneous tissue... A 51-year old male was presented to our clinic with a 15-year history of a pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region [Figure 1]... The developed gross deformity was causing significant psychological alterations as well as social isolation to the patient... Rectal examination revealed a slightly enlarged prostate without any palpable masses... Test results were negative for fecal occult blood... Ten months after the operation, we saw no signs of disease recurrence... The result was also aesthetically satisfactory [Figure 2]... ENV and papillomatosis cutis carcinoides share many features... The latter can morphologically resemble ENV with single or multiple verrucous, partially ulcerated tumors on the chronically irritated edematous extremity... Systemic retinoids, specifically etretinate, are useful in the treatment of diseases that are characterized by epidermal proliferation, as well as disorders of keratinization... The value of topically applied tazarotene gel with its potent retinoid profile and low potential for systemic effects has still to be determined... ENV should be included in the differential diagnosis of chronic lymphedema and be differentiated from papillomatosis cutis carcinoides... Early diagnosis is paramount... Without appropriate early intervention, ENV continues to worsen and may result in gross deformity requiring amputation.

No MeSH data available.


Pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region
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Figure 0001: Pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region

Mentions: A 51-year old male was presented to our clinic with a 15-year history of a pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region [Figure 1]. The developed gross deformity was causing significant psychological alterations as well as social isolation to the patient. His medical history showed significant hyperlipidemia, obesity, hypertension, and diabetes mellitus. There was no personal history of filariasis or Milroy's disease in his family.


Elephantiasis nostras verrucosa: successful surgical treatment in a gross deformity.

Gacto-Sánchez P, Fernandez-Ortega P, Pereyra-Rodríguez JJ - Indian J Dermatol (2009)

Pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2807165&req=5

Figure 0001: Pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region
Mentions: A 51-year old male was presented to our clinic with a 15-year history of a pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region [Figure 1]. The developed gross deformity was causing significant psychological alterations as well as social isolation to the patient. His medical history showed significant hyperlipidemia, obesity, hypertension, and diabetes mellitus. There was no personal history of filariasis or Milroy's disease in his family.

View Article: PubMed Central - PubMed

AUTOMATICALLY GENERATED EXCERPT
Please rate it.

Sir, Elephantiasis nostras verrucosa (ENV) is a rare, chronic, deforming disorder characterized by hyperkeratosis and papillomatosis of the epidermis with underlying woody fibrosis of the dermis and subcutaneous tissue... A 51-year old male was presented to our clinic with a 15-year history of a pendulum-like mass arising from the anterior abdominal wall in its lower part covering penis and scrotal region [Figure 1]... The developed gross deformity was causing significant psychological alterations as well as social isolation to the patient... Rectal examination revealed a slightly enlarged prostate without any palpable masses... Test results were negative for fecal occult blood... Ten months after the operation, we saw no signs of disease recurrence... The result was also aesthetically satisfactory [Figure 2]... ENV and papillomatosis cutis carcinoides share many features... The latter can morphologically resemble ENV with single or multiple verrucous, partially ulcerated tumors on the chronically irritated edematous extremity... Systemic retinoids, specifically etretinate, are useful in the treatment of diseases that are characterized by epidermal proliferation, as well as disorders of keratinization... The value of topically applied tazarotene gel with its potent retinoid profile and low potential for systemic effects has still to be determined... ENV should be included in the differential diagnosis of chronic lymphedema and be differentiated from papillomatosis cutis carcinoides... Early diagnosis is paramount... Without appropriate early intervention, ENV continues to worsen and may result in gross deformity requiring amputation.

No MeSH data available.