Diagnosis: Elephantiasis verrucosa nostrum
Description: Cobblestoning of edematous skin
Morphology: Swelling
Site: Ankle
Sex: M
Age: 73
Type: Clinical
Submitted By: Ian McColl
Differential DiagnosisHistory: An elderly diabetic with a previous history of 2 deep venous thromboses, developed these edematous legs. Chronic cellulitis has led to destruction of the lymphatics and chronic edema has induced reactive thickening of the overlying epidermis.