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Angiology
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Mossy Leg — An Unusual Therapeutic Success

Joseph Beninson

Department of Dermatology, Henry Ford Hospital, Detroit, Michigan

Michael J. Redmond

Department of Dermatology, Henry Ford Hospital, Detroit, Michigan

Elephantiasis verrucosa nostrum occurs when lymphatic obstruction of sufficient magnitude causes back pressure in the lymphatic channels forceful enough to produce superficial vessel dilation which has a "pebbly" or cobble-stone appearance. Unchecked this can progress to a marked verrucous or mossy appearance, frequently complicated by infection, with swelling and gross deformity.

The patient presented here was both post-phlebitic and post-lymphatic with significant deformity. He showed dramatic improvement on a regimen of antibiotics and elevation followed by decompression and routine use of pressure-gradient support garments. This has not recurred and he has remained under control since 1979.

Angiology, Vol. 37, No. 9, 642-646 (1986)
DOI: 10.1177/000331978603700904
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