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      Phlebolymphoedema: A Venous Etiology for Elephantiasis Nostras Verrucosa

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      Canadian Journal of General Internal Medicine
      Dougmar Publishing Group, Inc.

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          Abstract

          Elephantiasis nostras verrucosa is the end-stage manifestation of chronic, non-filarial, lymphatic insufficiency. While primary lymphatic disorders should be excluded, lymphoedema secondary to venous hypertension is a potentially common aetiology for this condition in developed nations. We present the case of a 62-year-old woman presenting with a four-year history of elephantiasis nostras verrucosa progressing to impairment of ambulation. Investigations for underlying pathology demonstrated the presence of bilateral chronicized deep vein thrombi, with a primary diagnosis of phelobolymphoedema being therefore retained. Following initiation of anticoagulation, wound care, and compressive bandaging, this patient was discharged to inpatient rehabilitation.

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          Phlebolymphedema–A Common Underdiagnosed and Undertreated Problem in the Wound Care Clinic

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            Elephantiasis Nostras Verrucosa

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              Author and article information

              Journal
              Canadian Journal of General Internal Medicine
              Can Journ Gen Int Med
              Dougmar Publishing Group, Inc.
              2369-1778
              1911-1606
              November 13 2018
              October 17 2018
              : 13
              : 4
              : e21-e22
              Article
              10.22374/cjgim.v13i4.288
              d472f667-1653-4255-8d9d-93ed060c271a
              © 2018

              Copyright of articles published in all DPG titles is retained by the author. The author grants DPG the rights to publish the article and identify itself as the original publisher. The author grants DPG exclusive commercial rights to the article. The author grants any non-commercial third party the rights to use the article freely provided original author(s) and citation details are cited. To view a copy of this license, visit https://creativecommons.org/licenses/by-nc/4.0/


              General medicine,Geriatric medicine,Neurology,Internal medicine
              General medicine, Geriatric medicine, Neurology, Internal medicine

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