We reported two cases of elephantiasis neurofibromatosa in a family. The first case was the son of the second case. Both patients showed huge masses and bone changs. They were treated by surgical excision due to functional and cosmetic problems. The histopathologic findings of the two cases were consistent with neurofibroma.
Elephantiasis* ; Humans ; Neurofibroma ; Neurofibromatoses*

The epidemiological surveys and inquest of retrospective data were conducted from 2002 to 2003 in Thua Thien – Hue, results showed that there were 4 patients with chronic complications of lymphatic filariasis in Hue city, Huong Tram district and Nam Dong district. Then the surveys were carried out in 7 communes with 2003 blood firms were taken and examined for microfilariae from November 2002 to April 2003. No positive slide has been found so far
Elephantiasis, Filarial ; Epidemiologic Studies ; Disease

Elephantiasis neurofibromatosa is the clinical subtype of neurofibromatosis and this clinically represents as a large, ill-defined, soft mass with soft tissue overgrowth and hairy pigmented patches. Histopathologically, an infiltrating and well-demarcated mass that is not encapsulated and the mass is composed of proliferating spindle-shaped cells can be observed in the dermis and subcutis. Mitotic activities should not exist. We herein report on two cases of elephantiasis neurofibromatosa that were treated with surgery. Both patients had had difficulty in walking due to a huge mass that had been on their left legs for more than 20 years. After surgery, they reported improvement of their ambulation.
Dermis ; Elephantiasis ; Humans ; Leg ; Neurofibromatoses ; Walking

In this survey, night blood firms were taken from 2,389 people in 2 communes of Lam Dong province: Tien Hoang (Cat Tien district) and Da Don ( Lam Ha district); and 2 communes of Dak Lak province: Eatrang (M’drak district) and Krongana (Buon Don district). No microlymphrea has been found. An entomological survey was also conducted in 4 same communes, showed that Culex quinquefasciantus and Culex vishnui occupied a high proportions among the collected mosquitoes. LF wasn’t found in the dissection of 461 mosquitoes
Elephantiasis, Filarial ; Epidemiologic Studies ; Disease ; epidemiology

An epidemiological survey for lymphatic filariasis was conducted in Nov.2001 in 4 communes of GiaLai and KonTum provinces. Blood was taken at night for detecting filarium,and mosquitoes were caugh for surveying entomologically.No microfilarium was detected in blood but a high rate of Culex quinquefasciatus,Culex vishnui, Culex puscocephalia was found. Dissection performed on 681 invidual mosquitoes did not show micofilarium
Elephantiasis, Filarial ; epidemiology ; diagnosis ; blood ; mosquitoes ;

We report a case of elephantiasis neurofibromatosa in a 50-year-old female patient treated by in walking excision. She had difficulty in walking due to a huge mass on the abdomen. After surgical excision, she is leading a normal life and is very satisfied.
Abdomen ; Elephantiasis* ; Female ; Humans ; Middle Aged ; Neurofibromatoses* ; Walking

Acupuncture Points ; Acupuncture Therapy ; Adult ; Elephantiasis ; therapy ; Female ; Humans

In mid-1987 a baseline microfilarial prevalence survey was conducted among five villages in the Mt Bosavi region of the Southern Highlands Province of Papua New Guinea. Through use of the Nucleopore filtration technique, it was determined that 48% of villagers had detectable microfilaraemia. The highest prevalence was documented in Fogomaiyu, where the microfilaraemia rate was 92%. On the basis of this initial survey and the expressed interest of the community, the Division of Health in the Southern Highlands Province undertook an integrated community-based pilot control program. The project used two principal control methods: (a) drug treatment with low-dose diethylcarbamazine citrate (DEC) distributed to the community weekly and (b) vector control with permethrin-impregnated bednets. Results six months after the intervention indicate that the program was successful in reducing microfilaraemia at Fogomaiyu village from 92% to 6%. The reduction is principally related to the effects of DEC, although the bednets, by limiting vector-person contact, are expected to reduce the incidence of both filariasis and malaria.
Adolescent ; Altitude ; Bedding and Linens ; Community Participation ; Elephantiasis, Filarial - epidemiology

Elephantiasis nostras verrucosa (ENV) is a rare clinical condition associated with chronic non-filarial lymphedema caused by bacterial or non-infectious lymphatic obstruction. A variety of etiologies, including infection, tumor obstruction, trauma, radiation, chronic venous stasis, congestive heart failure, and obesity, can lead to chronic lymphatic obstruction and edema. Mossy papules, plaques, and cobblestone-like nodules are clinically impressive features of ENV, but biopsy reveals only moderately abnormal findings such as pseudoepitheliomatous hyperplasia, dilated lymphatic spaces, fibrous tissue hyperplasia, and chronic inflammation. We present a case of ENV in a 67-year-old man with a 10-year history of multiple nodules and verrucous plaques on both feet. Microbiology ruled out a filarial infection. Nodule biopsy revealed pseudoepitheliomatous hyperplasia, marked dermal fibrosis, and a chronic inflammatory infiltrate. No evidence of carcinoma was identified. Both venous stasis and recurrent cellulitis could contribute to the dermal fibrotic changes of the lesions. However, before the recurrent cellulitis, he did not have any nodular lesions on his feet despite a 10-year history of venous disease. Therefore, this case suggests that venous stasis alone cannot produce the fibrotic nodular lesions of ENV
Aged ; Biopsy ; Cellulitis ; Edema ; Elephantiasis ; Fibrosis ; Foot ; Heart Failure ; Humans ; Hyperplasia ; Inflammation ; Non-Filarial Lymphedema ; Obesity

We present the first case study of idiopathic gigantic suprapubic lymphedema and buried penis treated with puboscrotal reconstruction in a patient with initial extreme obesity after an extensive weight reduction (120 kg). Massive localized lymphedema of the suprapubic region should be differentiated from the scrotal type. Severe lymphedema could not resolve on its own and weight reduction does not seem to be helpful in such cases.
Abdominoplasty ; Adiposity ; Elephantiasis ; Humans ; Lymphedema* ; Male ; Obesity ; Penis ; Reconstructive Surgical Procedures ; Weight Loss