European Journal of Dermatology
MENUElephantiasis nostras verrucosa occurring in voluntary shut-in (“hikikomori”) Volume 25, issue 1, January-February 2015
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1 Department of Dermatology
2 Department of Psychiatry
Sapporo City General Hospital
North 11, West 13, Chuo-ku, Sapporo 060-8604, Japan
Sapporo City General Hospital
North 11, West 13, Chuo-ku, Sapporo 060-8604, Japan
- DOI : 10.1684/ejd.2014.2458
- Page(s) : 76-7
- Published in: 2015
In January 2014, a 34-year-old man was referred to our hospital with hypothermia and mental fog. Clinical examination revealed his legs to be dirty, foul-smelling, red and covered with exudate and accumulated scurf that formed granular brown plaques (figure 1A). Pink nodules were aggregated into cauliflower-like plaques on the ankle joints (figure 1B). The histopathology of a biopsy specimen taken from the dorsal aspect of the ankle joint showed hyperkeratosis, pseudoepitheliomatous hyperplasia, [...]