Papillomatosis cutis lymphostatica

Sabah Bazouti¹ , Siham Dikhaye² , Nada Zizi²

¹ Department of Dermatology, Mohammed 6 University Hospital of Oujda – Medical School of Oujda, Morocco
² Department of Dermatology, Mohammed 6 University Hospital of Oujda; Laboratory of Epidemiology, Clinical Research and Public Health, Medical School of Oujda, Mohammed First University, Oujda, Morocco

Correspondence Address:
Sabah Bazouti
Department of Dermatology, Mohammed VI University Hospital, Mohammed First University, Oujda
Morocco

A 35-year-old man presented to us with primary lymphedema of the right lower limb since the age of 3 years [Figure - 1]a.

Figure 1:

Over the last 10 years, he had developed hyperkeratotic, verrucous and papillomatous lesions on the dorsal aspect of his right foot [Figure - 1]b. The lesions were associated with oozing and were malodorous.

Histopathology showed hyperkeratosis, verrucoid acanthosis of the epidermis and dilated lymphatic vessels in the fibrous dermis. Based on the clinical features and histopathology, a diagnosis of papillomatosis cutis lymphostatica was made.

Papillomatosis cutis lymphostatica is a rare manifestation of primary (hereditary) lymphedema. Skin infections can result from fissures in the skin caused by papillomatosis cutis lymphostatica. Options for effective treatment of lymphostatic cutaneous papillomatosis are limited. Compression therapy is important to prevent further progression.

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Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.