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December 1966

Elephantiasis Nostras of the Abdominal Wall

Author Affiliations


From the Department of Dermatology, Baylor University College of Medicine, Houston (Dr. Chernosky) and the Division of Allergy and Dermatology, Tulane University School of Medicine, New Orleans (Dr. Derbes).

Arch Dermatol. 1966;94(6):757-762. doi:10.1001/archderm.1966.01600300081017

An obese, constitutionally inferior woman had a massive apron-like abdominal wall studded with firm papular lesions on its inferior aspect. Biopsy showed acanthosis, greatly thickened dermis, and many dilated lymph vessels. A low calorie diet and much encouragement caused her to lose 53.5 kg (118 lb). Simultaneously most of the papular lesions disappeared. The excess abdominal wall was excised. One year later she was readmitted weighing over 181.6 kg (400 lb). Her death was ascribed to pulmonary edema, acute pyelonephritis, and obesity.

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