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Elephantiasis nostras verrucosa: a rare complication of lower limb lymphoedema
  1. Neoh Kar Keong1,2,
  2. Angelina Tang Siing Ngi1,
  3. Pubalan Muniandy3,
  4. Wong Voon Fei1,2
  1. 1Department of Internal Medicine, Sibu Hospital, Sibu, Sarawak, Malaysia
  2. 2Faculty of Medicine, SEGI University
  3. 3Department of Dermatology, Sarawak General Hospital, Kuching, Sarawak, Malaysia
  1. Correspondence to Dr Neoh Kar Keong, kkneoh{at}


We reported a case of a 49-year-old man who had chronic lymphoedema of bilateral lower limbs for 30 years, but he did not seek treatment. His disease was complicated with irreversible changes of elephantiasis nostras verrucosa and had recurrent admissions due to infection. He was not keen for surgical intervention. This case report illustrated a rare and non-reversible complication of a common skin disease, lymphoedema and also the importance of identifying and treating it early.

  • dermatology
  • general practice / family medicine
  • medical management

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  • Contributors NKK, ATSN and WVF: involved in patient’s care in ward, data collection and case reporting. ATSN: involved in photo taking and explanation to patient. PM: involved in interpretation of data. PM and WVF: involved in literature review.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Provenance and peer review Not commissioned; externally peer reviewed.