# Elephantiasis Nostras Verrucosa in a Patient With Lymphedema Tarda

## TL;DR

A 42-year-old man with a rare condition called elephantiasis nostras verrucosa is described, highlighting the challenges in diagnosis and treatment of complex lymphatic disorders.

## Contribution

This case report adds a rare clinical example of elephantiasis nostras verrucosa in lymphedema tarda, emphasizing the need for multidisciplinary care.

## Key findings

- The patient exhibited progressive swelling and hyperkeratosis over seven years, leading to a rare diagnosis.
- A multidisciplinary approach was used to confirm the diagnosis and manage the condition.
- Nutritional and pharmacological interventions were part of the treatment strategy.

## Abstract

This case report presents a rare and complex clinical scenario of a 42-year-old male diagnosed with elephantiasis nostras verrucosa in the context of lymphedema tarda. The patient's seven-year history of insidious and progressively worsening swelling over the left lower limb, inguino-scrotal region, and left upper limb posed diagnostic challenges, leading to a multidisciplinary evaluation. Clinical examination, imaging studies, and laboratory investigations were integral in confirming the diagnosis. The manifestation of elephantiasis nostras verrucosa, characterized by extensive hyperkeratosis, added a unique dimension to the clinical presentation. A comprehensive treatment approach involving nutritional supplementation and pharmacological interventions was initiated to address the multifaceted aspects of lymphatic dysfunction. This case underscores the importance of a collaborative and holistic approach to managing complex lymphatic disorders, contributing valuable insights to the medical literature.