A 58-year-old obese African American man with congestive heart failure presents with swelling and lesions on his lower extremities. He first noticed the swelling 2 years earlier, and several painless, wart-like lesions have developed over the past few months. He reports having had a few skin infections in the same region for which his primary care provider prescribed antibiotics. On examination, the patient has bilateral nonpitting lower extremity edema with overlying verrucous lesions. A positive Stemmer sign is noted.
Can you diagnose the condition in Case 1?
A. Venous stasis dermatitis
B. Elephantiasis nostras verrucosa
C. Deep venous thrombosis
Click to the next page for the answer.
This article originally appeared on Clinical Advisor