Elephantiasis nostras verrucosa represents longstanding obstruction of the lymphatic drainage, leading eventually to grotesque enlargement of the chronically dependent and immobile part (s) of the body.
Chronic persistent lymphedema may lead to recurrent
streptococcal lymphangitis, which can also be the
predisposing factor. The microorganisms may gain entry
into the lymphatics through minor injuries, interdigital
fissures, or tinea pedis.
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