Elephantiasis nostras verrucosa represents an infrequent clinical entity with cutaneous changes characterized by dermal fibrosis, hyperkeratotic verrucous and papillamotous lesions resulting from chronic non-filarial lymphedema secondary to infections, surgeries, tumor obstruction, radiation, congestive heart failure, and obesity. We report a weak 51-year-old male patient with a long history of constipation due to Hirschsprung’s disease, a decrease in venous return due to prolonged abdominal distention during ileus attacks, and eventually a severe ENV clinic. Elephantiasis nostras verrucosa is caused by obstruction to peripheral lymphatics 1. H02. 2011;volume 64(6):1104-10. Elephantiasis nostras verrucosa (ENV) is a rare form of chronic lymphedema that causes progressive cutaneous hypertrophy. Treatment of ENV remains poorly elucidated but has historically involved conservative management aimed. A 55 year old woman presented with a four month history of tiredness and leg swelling. Elephantiasis nostras verrucosa (ENV) is a rare form of chronic lymphedema that causes progressive cutaneous hypertrophy. Turk J Nephrol. 2021; 30(2): 176-178. 859 [convert to ICD-9-CM] Elephantiasis of unspecified eye, unspecified eyelid Elephantiasis of eyelid; Elephantiasis, eyelid ICD. thick. 5. DOI: 10. The patient from the present study responded wellElephantiasis nostras verrucosa (ENV) is an unusual skin condition characterized by dermal fibrosis and hyperkeratotic verrucous lesions resulting from chronic nonfilarial lymphoedema. 7 – 9 Elephantiasis nostras verrucosa usually begins at the dorsal aspect of the foot and then. Histopathology is marked by hyperkeratosis and dermal or subcutaneous fibrosis as a result of chronic lymphedema. 1. Free to readElephantiasis nostras verrucosa on the abdomen of a Turkish female patient caused by morbid obesity. Elephantiasis nostras verrucosa (ENV) is a rare cutaneous sequela of chronic lymphedema. [1] Both. Rogel-Vence et al. Maggot therapy for elephantiasis nostras verrucosa reveals new applications and new complications: a case report. Elephantiasis nostras verrucosa is a poorly understood disease leading to debilitating deformities. 2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code. Elephantiasis nostras verrucosa. Bancroftian. 1016/J. Pretibial myxedema (PTM) is a non-frequent manifestation of autoimmune thyroiditis, particularly Graves' disease. Elephantiasis of eyelid; Elephantiasis, eyelid. Physical examination revealed lesions of a mossy and verrucose appearance, with exophytic and agglomerated lesions on the left lower. Han HH, Lim SY, Oh DY. Search 214,914,383 papers from all. 1111/ijd. Click to explore. Elephantiasis nostras verrucosa of the pannus. The skin feels “woody,” the edema is nonpitting, and does not resolve upon elevation of the extremity. com Case Report Elephantiasis nostras verrucosa (ENV) is a rare dermato-logic condition caused by nonfilarial chronic lymphedema. Volume 39, Issue 10. Bancroftian filariasis. 13; 10 (2): 32-34 . Prolonged lymphostasis of the affected extremity eventually leads to accumulation of protein within the interstitial fluid, which in turn induces proliferation of fibroblasts. Additionally, disfiguring disseminated lesions can be seen in patients with human immunodeficiency virus (HIV) and acquired immunodeficiency syndrome (AIDS). Elephantiasis nostras. It is a non-filariasis chronic lymphoedema, causing disfigurement of the extremities, and it will lead to recurrent infections and disabilities. The panniculus was very hard, thickened, hyperpigmented, and studded with varioussized, firm excrescences. Hereditary lymphedema. Elephantiasis nostras verrucosa (ENV) is a rare form of chronic lymphedema that causes progressive cutaneous hypertrophy. Elephantiasis nostras verrucosa (ENV) is a rare form of chronic lymphedema that causes progressive cutaneous hypertrophy. Elephantiasis nostras verrucosa (ENV) is a rare and dramatic sequela of chronic nonfilarial lymphedema. Previous reports regarding elephantiasis nostras verrucosa (ENV) have been typically limited to 3 or fewer patients. 5 and 10:1. Background and Objective: Elephantiasis nostras verrucosa (ENV) is a disfiguring skin condition that is difficult to treat. Elephantiasis nostra verrucosa (ENV) is the name now given to this condition, which is also referred to as mossy foot . Dean SM, Zirwas MJ, Horst AV J Am Acad Dermatol 2011 Jun;64(6):1104-10. A 60-year-old African American man presented with a medical history of morbid obesity (weighing more than 550 lb), benign prostatic hyperplasia, hyperlipidemia, gynecomastia, atrial fibrillation, hypertension,. This can occur secondary to processes such as infection, neoplasm, trauma, obesity, and chronic venous stasis 1 . Management of ENV is. The condition is characterized by papules, verrucous lesions, enlargement, and woody. Elephantiasis / pathology Female Humans Lower Extremity. 4103/idoj. 2008;volume 9(3):141-6. 4. Semantic Scholar extracted view of "[Elephantiasis nostras verrucosa]. Elephantiasis nostras verrucosa, a rare manifestation of Kaposis sarcoma, is a progressive cutaneous hypertrophy caused by chronic non-filarial lymphedema secondary to obstruction of the lymphatic. Elephantiasis nostras verrucosa is a progressively debilitating and disfiguring disease commonly presenting with verrucous, cobblestone-like papules, nodules, or plaques with nonpitting edema in. Symptom onset begins in the first 10–20 years of constant exposure, with a progressive increase in prevalence being seen up to 60 years of age [1]. 0 Lymphedema, not elsewhere classified. Elephantiasis nostras verrucosa is a progressively debilitating and disfiguring disease commonly presenting with verrucous, cobblestone-like papules, nodules, or plaques with nonpitting edema in. Lymphatic obstruction can be primary or. J Clin Rheumatol. The initial characteristic cobblestone appearance. Causative factors include obesity, congestive heart failure, venous stasis, neoplastic obstruction, and radiation injury to name a few. Recurrent soft. Elephantiasis nostras verrucosa (ENV) is a rare condition that arises in the setting of chronic, non-filarial lymphedema. Multiple topical and surgical treatments have been typically used with high relapse rates and local complications. Both occurred on the buttocks and sacrum of immobile, morbidly obese men who were persistently. ) Key words: edema; elephantiasis; elephantiasis nostras verrucosa; lymphedema. 2004 Jun;30 (6):939-41. 5. Skip to search form Skip to main content Skip to account menu. Elephantiasis nostras verrucosa. x. tb00810. The skin is also affected and may be: dry. Elephantiasis nostras refers to severe lymphedema and is often associated with characteristic skin changes, such as ulceration, deep folds, hyperkeratosis and a cobblestone appearance (1,2). Elephantiasis nostras verrucosa J Hosp Med. Full text links. Surgical excision has been used for some ENV lesions with acceptable results. Primary (congenital) lymphedema is an uncommon disease with prevalence estimates ranging from 1:6000 to 10,000 live births. Maggot therapy for elephantiasis nostras verrucosa reveals new applications and new complications: a case report. This is the American ICD-10-CM version of L22 - other international versions of ICD-10 L22 may differ. arabicum - See: Infestation, filarial; bancroftian - B74. It is characterized clinically by deforming, nonpitting edema; malodorous hyperkeratosis with generalized lichenification; cobblestoned papules; and verrucous changes, that often result in extreme enlargement of the involved. 1097/RHU. 3. 1. ENV is a manifestation. Elephantiasis, also known as lymphatic filariasis, is a very rare condition that’s spread by mosquitoes. Introduction. 1046/j. J Am Acad Dermatol 2011;64:1104-10. arabicum - See: Infestation, filarial; bancroftian - B74. Elephantiasis nostras verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. Elephantiasis nostras verrucosa (ENV) is the most severe form of chronic non-filarial lymphedema that leads to disfiguration of body parts. Abstract. Elephantiasis nostras verrucosa (ENV) is a rare cutaneous sequela of chronic lymphedema. Sarma PS, Ghorpade A. Elephantiasis nostras is characterized by edema, skin fibrosis, and massive enlargement of a body part. However, there is no complete. Epub 2011 Feb 15. Elephantiasis nostra verrucosa. DOI: 10. Background. Int J Dermatol. Elephantiasis nostras verrucosa. The patient was experiencing worsening left leg swelling and had a prior. 0 - other international versions of ICD-10 I89. Although a low-grade vascular tumor, Kaposi sarcoma (KS) can have mucosal, and visceral involvement. It is treated with drugs, and prevention. Elephantiasis nostras verrucosa: a review American journal of clinical dermatology. Vaccaro M, Borgia F, Guarneri F, et al. Various factors can cause obstruction of the lymphatic system and result in ENV. The blocked lymphatic channels lead to protein-rich fluid in the dermis and subcutaneous tissues and brawny edema. Successful treatment of elephantiasis nostras of the lip. Infective etiologies include bacterial and fungal infections along with chronic. Federal government websites often end in . Cutis 1998;62:77-80. Existing treatment modalities serve to improve cosmesis or treat symptoms. This article provides an overview and a case presentation of the unusual and debilitating skin condition related to chronic lymphedema of the lower extremity known as elephantiasis nostras verrucosa. 855 may differ. A variety of. An 82-year-old male presented with a 2-year history of progressive verrucous skin changes and non-pitting edema consistent with elephantiasis nostras verrucosa (ENV), secondary to Kaposi’s sarcoma. We report the results of 28 patients with. Related; Information; Close Figure Viewer. Images in clinical medicine. It most commonly occurs on the leg. Elephantiasis nostras verrucosa: an institutional analysis of 21 cases. In addition, other sites including the upper extremities, abdomen, buttocks, face, or scrotum might be involved. There are only two single case reports of Peno-Scrotal Elephantiasis Nostras Verrucosa in the literature [ 8, 9 ]. Congestive cardiac failure and non-filarial infections predispose patients to the secondary form of lymphedema, elephantiasis nostras verrucosa (ENV). This is the American ICD-10-CM version of H02. 854 may differ. Elephantiasis nostras verrucosa represents a rare group of cutaneous changes comprising dermal fibrosis, hyperkeratotic, verrucous, and papillomatous lesions after chronic secondary, nonfilarial. Grant JM. What is elephantiasis nostras verrucosa? Elephantiasis nostras verrucosa (ENV) is a rare and severe form of chronic lymphoedema. 1056/NEJMicm1310890. The condition is characterized by papules, verrucous lesions, enlargement, and woody. [PubMed: 29519146] 15. With chronic lymphedema, the development of verrucous, cobblestone plaques, a condition known as elephantiasis nostra verrucosa (ENV), can. Previous Figure Next Figure. pitted. A 79-year-old woman presented from a nursing home with unusual lower extremity skin changes. The condition is similar to ‘elephantiasis tropica’, in which elephantiasis develops secondary to filariasis. 0 Lymphedema, not elsewhere classified lymphatic vessel - I89. org 24 | Page Surgical Correction of Peno-Scrotal Elephantiasis Nostras Verrucosa Ekpo Rg,Otei Oo, Henshaw E, Ozinko MoFigure 1. Han HH, Lim SY, Oh DY. Elephantiasis nostras verrucosa (ENV) is a progressive cutaneous hypertrophy due to chronic lymphedema, following longstanding obstruction of the lymphatic drainage. Previous Figure Next Figure. Various treatment options have been reported for this disease. 852 - other international versions of ICD-10 H02. Elephantiasis nostras verrucosa is a rare, chronically deforming multifactorial disease that presents as a nonfilarial lymphedema. 2011 Jun;64(6):1104-10. 1980. doi: 10. 21, No. Lymphedema is a clinical condition in which an accumulation of macromolecules occurs in the interstitial space and an atypical evolution known as elephantiasis nostras verrucosa may occur. Non-filarial elephantiasis of the legs is called elephantiasis nostras verrucosa (ENV) and results from the lymphatic blockage of the lymphatic system. Histologic examination of the abdominal skin lesions showed dermal fibrosis, acanthosis of the epidermis with vessel proliferation. Elephantiasis nostras verrucosa is a rare condition characterised by papules, verrucous lesions, fibrosis and deformity of the affected area. Elephantiasis nostras verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. Large abdominal pannus JGIM 810 Received November 10, 2010 Accepted January 18, 2011 Elephantiasis nostras verrucosa successfully treated by surgical debridement. Korean J Dermatol 1998;36:1098-1100. Google Scholar. Elephantiasis nostras verrucosa is a rare, disfiguring complication of longstanding chronic lymphoedema. He gave history of having these complaints for the last 15 years. Elephantiasis nostras verrucosa (ENV) is an uncommon and singular array of dermatologic manifestations that can complicate chronic lymphedema. Elephantiasis nostras is a chronic disorder that is difficult to treat. The condition is similar to 'elephantiasis tropica', in which elephantiasis develops secondary to filariasis. Dean SM, Zirwas MJ, Horst AV. Search 212,698,148 papers from all fields of science. A 27-year-old male with primary lymphedema complicated by large painful ENV lesions on his left foot is excised surgically with good functional and cosmetic results as validated by the patient. Primary (congenital) lymphedema is an uncommon disease with prevalence estimates ranging from 1:6000 to 10,000 live births. 1 It is characterised by marked oedema of the affected extremity, generalised thickening and lichenification of the skin. Elephantiasis nostras verrucosa is a poorly understood disease leading to debilitating deformities. Protein, water and waste products are released into tissue in the normal way but a damaged lymphatic system prevents the drainage away and swelling of the affected area results (lymphostasis). October 2000. thick. Elephantiasis nostras verrucosa (ENV) is a rare cutaneous sequela of chronic lymphedema. A variety of. 0 Filariasis due to Wuchereria bancrofti. Diaper dermatitis. Elephantiasis nostras verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. Elephantiasis nostras verrucosa: an institutional analysis of 21 cases. ENV is a. doi: 10. It is caused by chronic lymphedema that could be congenital or produced by a non-associated infection (such as tuberculosis, mycotic infection, syphilis), surgery, radiotherapy, trauma, neoplastic obstruction, obesity, portal hypertension, or congestive. 3. Concomitance of Elephantiasis Nostras Verrucosa and Systemic Sclerosis. UK jobs; International jobs; Saltash Health Centre: Salaried GP/Partnership. Even though the response of the body was delayed in the patients who were observed, the postoperative results were helpful in reducing the effects of elephantiasis in the individuals. It can lead to severe. KEY WORDS:. Characteristic cutaneous signs include profound hyperkeratosis, dermal fibrosis, and lichenification, and a verrucous and papillomatous eruption with a cobblestone-like appearance ( Fig 1 ). After major complications (including development of necrotizing fasciitis), it was necessary to cover the developed skin. 1524-4725. Diaper dermatitis. darker than normal. J Trop Med Hyg 1934;37: 257-264. BACKGROUND: Elephantiasis Nostras Verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. 1524-4725. 2000; 39:764–766. His disease was complicated with irreversible changes of elephantiasis nostras verrucosa and had recurrent admissions due to infection. 1. ICD 9 Codes: 457. Other forms of elephantiasis are seen in breast cancer (lymphedema of the arm), Leishmania (disseminated spots on the body) and Lymphogranuloma venereum (lymphoma of the groin). Elephantiasis nostras verrucosa is differentiated from elephantiasis tropica, which is caused by a filarial infec-tion of the lymphatic system. J Am Board Fam Med. (A) Pink or brown hard papules and nodules on both toes and toe webs. The patient from the present study responded well Elephantiasis nostras verrucosa on the legs and abdomen with morbid obesity in an Indian lady. Lymphatic obstruction can be primary or due to. An 82-year-old male presented with a 2-year history of progressive verrucous skin changes and non-pitting edema consistent with elephantiasis nostras verrucosa (ENV), secondary to Kaposi’s sarcoma. Intertrigo. Elephantiasis nostras verrucosa. Background: Elephantiasis Nostras Verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. Elephantiasis nostras verrucosa (ENV) of the legs and abdomen in a morbidly obese woman with multiple medical problems is reported. Volume 39, Issue 10. 0. What is not as well chronicled is a dramatic skin alteration associated with chronic lymphedema. Elephantiasis nostras verrucosa is a progressively debilitating and. Abstract. Existing treatment modalities. Crossref. " by B. 7. Risk factorsElephantiasis nostras verrucosa (ENV) is an unusual skin condition characterized by dermal fibrosis and hyperkeratotic verrucous lesions resulting from chronic nonfilarial lymphoedema. Elephantiasis nostras verrucosa J Dermatol Surg Oncol. 0 (any site) (hereditary) ICD-10-CM Diagnosis Code Q82. Elephantiasis nostras verrucosa is caused by obstruction to peripheral lymphatics 1. Elephantiasis nostras verrucosa or “mossy foot lesions” in lymphedema. 2018 Nov/Dec; 22 (6):611-613. The 2024 edition of ICD-10-CM I89. Elephantiasis nostras verrucosa (ENV), a very rare presentation of severe disfigurement and lymphedema, may occur in AIDS-associated KS. The diagnosis of elephantiasis nostras verrucosa is based on the patient's history and characteristic skin changes. The patient was experiencing worsening left leg swelling and had a prior history of. The Successful Treatment of Elephantiasis Nostras Verrucosa With Ablative Carbon Dioxide Laser. In addition, other sites including the upper extremities, abdomen, buttocks, face, or scrotum might be involved. Chronic ulceration frequently affects the legs, in association with chronic venous insufficiency (45-80%), chronic arterial insufficiency (5-20%), diabetes (15-25%) and or peripheral neuropathy. Histopathology is marked by hyperkeratosis and dermal or subcutaneous fibrosis as a result of chronic lymphedema. DOI: 10. Year introduced: 1991(1975)Elephantiasis nostras verrucosa (ENV) is a unique, chronic condition found in patients with obesity and chronic secondary lymphedema. Elephantiasis nostras verrucosa J Am Podiatr Med Assoc. . References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term "elephantiasis (nonfilarial)" Elephantiasis (nonfilarial) - I89. Elephantiasis Elefantsjuka Svensk definition. Europe PMC is an archive of life sciences journal literature. Elephantiasis nostras verrucosa (ENV) is a rare and severe form of chronic lymphoedema. A variety of. Elephantiasis nostras is a chronic disorder that is difficult to treat. It is a non-filariasis chronic lymphoedema, causing disfigurement of the extremities, and it will lead to recurrent infections and disabilities. iosrjournals. Elephantiasis Nostras Verrucosa. J Drugs Dermatol. Boyd J. 2016 2017 2018 2019 2020 2021 2022 2023 2024 Billable/Specific Code. Elephantiasis nostras verrucosa is caused by obstruction to peripheral lymphatics 1. 21, No. A 54-year-old man with morbid obesity and congestive. Longstanding lymphedema can lead, especially when there is recurrence of erysipelas, to irreversible elephantiasis nostras verrucosa (ENV). There is no standard treatment for this rare cutaneous manifestation. Treatment of ENV remains poorly elucidated but has. Lymphedema, not elsewhere classified ICD-10-CM I89. The condition is characterized by papules, verrucous lesions, enlargement, and woody fibrosis of the affected area. The swelling and enlargement of body parts can lead to pain and mobility issues. PDF. ISI. Successful surgical treatment for elephantiasis nostras verrucosa using a new. This question is for testing whether or not you are a human visitor and to prevent automated spam submissions. A case of elephantiasis nostras verrucosa is reported to be treated successfully by surgical reconstruction using a newly designed column flap. Case report REPORTE DE CASO RESUMEN La elefantiasis. Europe PMC is an archive of life sciences journal literature. Complications include cellulitis, lymphangitis, and lymphangiosarcoma. The condition is characterized by papules, verrucous lesions, enlargement, and woody fibrosis of the affected area. 2010. The swelling and enlargement of body parts can lead to pain and mobility issues. tb00810. 1177/000331977102200802. October 2000. Elephantiasis nostras verrucosa (ENV) is a chronic deforming disorder characterized by hyperkeratosis and papillomatosis of the epidermis with underlying woody fibrosis of the dermis and the subcutaneous tissue in the setting of chronic nonfilarial lymphedema. 0 Filariasis due to Wuchereria bancrofti. There is no standardised guideline and treatment to date. It can lead to severe disfiguration of body parts with gravity-dependent blood flow, especially the lower extremities. Elephantiasis nostras is a chronic disorder that is difficult to treat. DESCRIPTION A 53-year-old woman presented to the hospital complaining of severe pain in her right leg for the past several. Thyroid dermopathy is not a frequent feature of hyperthyroid Graves’ disease, being present in less than 5% of the patients. Skip to search form Skip to main content Skip to account menu. 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. [Google Scholar] Articles from Journal of General Internal Medicine are provided here courtesy of Society of General Internal Medicine. Progressive tissue enlargement, deformity, and disability necessitate intervention. 4. To our knowledge, this is one of the few cases reported in literature, in which on the background of a Graves′ disease a precipitant factor, as immobility and obesity, determine the impairment of lymphatic flow leading to elephantiasis. To the Editor: Elephantiasis nostras verrucosa (ENV) is a skin disorder caused by marked underlying lymphedema that leads to hyperkeratosis, papillomatosis, and verrucous growths on the epidermis. It is important to recognise and treat ENV early, as the condition can cause irreversible skin changes, interfere with ambulation and increase a patient’s risk for infections. 859 is a billable/specific ICD-10-CM code that can be used to indicate a diagnosis for reimbursement purposes. The dermatological findings are consistent with elephantiasis nostras verrucosa—a dermatologic disorder secondary to chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. The 2024 edition of ICD-10-CM L22 became effective on October 1, 2023. (A) Pink or brown hard papules and nodules on both toes and toe webs. 2014 Jun 26;370(26):2520. We report a case of a 27-year-old male with. Elephantiasis nostras verrucosa (ENV) is a rare and dramatic sequela of chronic nonfilarial lymphedema. Abstract. Elephantiasis nostras verrucosa: a rare complication of lower limb lymphoedema. com. Instead, it is a complication of chronic lymphedema. Elephantiasis nostras verrucosa is a rare condition characterised by papules, verrucous lesions, fibrosis and deformity of the affected area. Elephantiasis nostras verrucosa (ENV) is a rare and dramatic sequela of chronic nonfilarial lymphedema. Lymphostatic verrucosis, also known as elephantiasis nostras verrucosa, is a rare form of chronic lymphoedema that causes progressive cutaneous hypertrophy leading to severe disfigurement of body parts (especially of lower limbs) with gravity. 1111/j. Number of monthly active Facebook users worldwide as of 2nd quarter 2020. Elephantiasis nostras verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. Sign In. setting of elephantiasis nostra verrucosa (ENV). The initial characteristic cobblestone appearance progresses. J Am Acad Dermatol. Elephantiasis of right lower eyelid. Elephantiasis nostras verrucosa on the legs and abdomen with morbid obesity in an. Discussion. 0. Elephantiasis nostras verrucosa is a progressively debilitating and disfiguring disease commonly presenting with verrucous, cobblestone-like papules, nodules, or plaques with nonpitting edema in the lower extremities. Elephantiasis nostras usually requires a multidisciplinary team approach and good collaboration between clinicians. Castellani A. Elephantiasis nostras verrucosa: an institutional analysis of 21 cases. 1524-4725. He was not keen for surgical intervention. He was not keen for surgical intervention. 1998;62(2):77-80. Here we report two cases of ENV: one is a biopsy-proven case and the other is a clinically diagnosed case. Europe PMC is an archive of life sciences journal literature. Int J Dermatol. Epub 2011 Mar 25 doi: 10. Background: Elephantiasis nostras verrucosa is a rare cutaneous complication of chronic lymphatic obstruction. References in the ICD-10-CM Index to Diseases and Injuries applicable to the clinical term "elephantiasis (nonfilarial)" Elephantiasis (nonfilarial) - I89. Pedunculated verrucous plaques of lymphostatic verrucosis on the lateral aspect of the right foot. The 2024 edition of ICD-10-CM L22 became effective on October 1, 2023. Causes include parasitic and bacterial infections, neoplasia and obesity, but numerous cases have uncertain aetiology. Secondary lymphedema (or acquired lymphedema) is much more common. Elephantiasis nostras verrucosa is a rare and exaggerated form of secondary nonfilarial lymphedema. A variety of etiologies, including infection, tumor obstruction, trauma, radiation, chronic venous stasis, congestive heart failure, and obesity, can lead to. This obstruction may beThis article is an answer to the Case – A Woman With Thick, Pebbly, Warty Skin Changes on her Legs Elephantiasis nostras verrucosa (ENV) — also called elephantiasis nostras, mossy leg, and lymphangitis recurrens elephantogenica — is a troublesome complication of chronic lymphedema. The results are often. We present a 54-year-old male patient with a posttraumatic and postinflammatory elephantiasis nostras verrucosa (ENV) of the left leg due to a minor accident at work (minor injury of the left patella), 5 years ago. Elephantiasis nostras verrucosa as a manifestation of morbid obesity. (B, C) Plaques with a moss-covered appearan-3. We present the case of a 65-year-old man with lymphedema praecox complicated by congestive cardiac failure.