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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Language: | English |
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Wiley
2013-01-01
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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. |
format | Article |
id | doaj-art-981a419ca78148cd808d0daa9d4e7828 |
institution | Kabale University |
issn | 1687-9627 1687-9635 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Medicine |
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 |