TY - JOUR T1 - Elephantiasis <em>nostras verrucosa</em> in the setting of lymphoedema <em>tarda</em> and neurofibromatosis type 1 JF - BMJ Case Reports JO - BMJ Case Reports DO - 10.1136/bcr-2019-230637 VL - 12 IS - 11 SP - e230637 AU - Joana Calvão AU - Luís Santiago AU - Maria Manuel Brites AU - Américo Figueiredo Y1 - 2019/11/01 UR - http://casereports.bmj.com/content/12/11/e230637.abstract N2 - Elephantiasis nostras verrucosa (ENV) comprises an uncommon skin disease characterised by dermal fibrosis with hyperkeratotic, verrucous and papillomatous lesions that usually occur after chronic lymphoedema. We describe the case of a 56-year-old-man with neurofibromatosis type 1, no known surgical history, no chronic medication and no travel history, presenting with worsening non-pitting oedema and impressive foul-smelling mossy plaques and cobblestone-like nodules in both legs and feet, especially on the right, compatible with the diagnosis of ENV. ER -