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Case Reports in Medicine
Volume 2013, Article ID 626739, 3 pages
http://dx.doi.org/10.1155/2013/626739
Case Report

Obesity-Associated Abdominal Elephantiasis

1Department of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, Columbia Tower, Appt. no. 308, 50 Ridgefield Avenue, Bridgeport, CT 06610, USA
2Geriatric Fellowship, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, CT 06610, USA
3Department of Internal Medicine, Bridgeport Hospital, Yale University School of Medicine, 267 Grant Street, CT 06610, USA

Received 28 November 2012; Revised 1 March 2013; Accepted 5 March 2013

Academic Editor: Jeffrey M. Weinberg

Copyright © 2013 Ritesh Kohli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

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.