Archives of Orthopaedic and Trauma Surgery

, Volume 128, Issue 10, pp 1183–1186 | Cite as

Elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis

  • Egemen TurhanEmail author
  • Ahmet Ege
  • Selcuk Keser
  • Ahmet Bayar
Orthopaedic Surgery


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. Although recurrent streptococcal lymphangitis is believed to play a critical role in the origin of elephantiasis nostras verrucosa, the exact pathogenesis of the disorder is not yet clear. Therapeutic efforts should aim to reduce lymph stasis, which will also lead to improvement of the cutaneous changes but unfortunately there is no specific treatment for advanced cases. In this report, we present a patient who was treated by below knee amputation as a result of elephantiasis nostras verrucosa complicated with chronic tibial osteomyelitis.


Elephantiasis nostras verrucosa Tibial Osteomyelitis Amputation 


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Copyright information

© Springer-Verlag 2007

Authors and Affiliations

  • Egemen Turhan
    • 1
    Email author
  • Ahmet Ege
    • 1
  • Selcuk Keser
    • 1
  • Ahmet Bayar
    • 1
  1. 1.School of Medicine, Department of Orthopaedics and TraumatologyMedicine Faculty of Zonguldak Karaelmas UniversityZonguldakTurkey

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