Obesity-Associated Abdominal Elephantiasis

Abdominal elephantiasis is a rare entity. Abdominal elephantiasis is an uncommon, but deformative and progressive cutaneous disease caused by chronic lymphedema and recurrent streptococcal or Staphylococcus infections of the abdominal wall. We present 3 cases of patients with morbid obesity who pres...

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Main Authors: Ritesh Kohli, Vivian Argento, Yaw Amoateng-Adjepong
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Case Reports in Medicine
Online Access:http://dx.doi.org/10.1155/2013/626739
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author Ritesh Kohli
Vivian Argento
Yaw Amoateng-Adjepong
author_facet Ritesh Kohli
Vivian Argento
Yaw Amoateng-Adjepong
author_sort Ritesh Kohli
collection DOAJ
description Abdominal elephantiasis is a rare entity. Abdominal elephantiasis is an uncommon, but deformative and progressive cutaneous disease caused by chronic lymphedema and recurrent streptococcal or Staphylococcus infections of the abdominal wall. We present 3 cases of patients with morbid obesity who presented to our hospital with abdominal wall swelling, thickening, erythema, and pain. The abdominal wall and legs were edematous, with cobblestone-like, thickened, hyperpigmented, and fissured plaques on the abdomen. Two patients had localised areas of skin erythema, tenderness, and increased warmth. There was purulent drainage from the abdominal wall in one patient. They were managed with antibiotics with some initial improvement. Meticulous skin care and local keratolytic treatment for the lesions were initiated with limited success due to their late presentation. All three patients refused surgical therapy. Conclusion. Early diagnosis is important for the treatment of abdominal elephantiasis and prevention of complications.
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spelling doaj-art-981a419ca78148cd808d0daa9d4e78282025-02-03T00:59:40ZengWileyCase Reports in Medicine1687-96271687-96352013-01-01201310.1155/2013/626739626739Obesity-Associated Abdominal ElephantiasisRitesh Kohli0Vivian Argento1Yaw Amoateng-Adjepong2Department of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, Columbia Tower, Appt. no. 308, 50 Ridgefield Avenue, Bridgeport, CT 06610, USAGeriatric Fellowship, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, CT 06610, USADepartment of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, CT 06610, USAAbdominal elephantiasis is a rare entity. Abdominal elephantiasis is an uncommon, but deformative and progressive cutaneous disease caused by chronic lymphedema and recurrent streptococcal or Staphylococcus infections of the abdominal wall. We present 3 cases of patients with morbid obesity who presented to our hospital with abdominal wall swelling, thickening, erythema, and pain. The abdominal wall and legs were edematous, with cobblestone-like, thickened, hyperpigmented, and fissured plaques on the abdomen. Two patients had localised areas of skin erythema, tenderness, and increased warmth. There was purulent drainage from the abdominal wall in one patient. They were managed with antibiotics with some initial improvement. Meticulous skin care and local keratolytic treatment for the lesions were initiated with limited success due to their late presentation. All three patients refused surgical therapy. Conclusion. Early diagnosis is important for the treatment of abdominal elephantiasis and prevention of complications.http://dx.doi.org/10.1155/2013/626739
spellingShingle Ritesh Kohli
Vivian Argento
Yaw Amoateng-Adjepong
Obesity-Associated Abdominal Elephantiasis
Case Reports in Medicine
title Obesity-Associated Abdominal Elephantiasis
title_full Obesity-Associated Abdominal Elephantiasis
title_fullStr Obesity-Associated Abdominal Elephantiasis
title_full_unstemmed Obesity-Associated Abdominal Elephantiasis
title_short Obesity-Associated Abdominal Elephantiasis
title_sort obesity associated abdominal elephantiasis
url http://dx.doi.org/10.1155/2013/626739
work_keys_str_mv AT riteshkohli obesityassociatedabdominalelephantiasis
AT vivianargento obesityassociatedabdominalelephantiasis
AT yawamoatengadjepong obesityassociatedabdominalelephantiasis