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Elephantiasis Nostras Verrucosa ?

A 50+ year old morbidly obese African American female presents with a 6 month history of an isolated growing, verrucous, pruritic, weeping mass on the left shin that has recently developed a foul odor.

HISTORY: A 50+ year old morbidly obese African American female presents with a 6 month history of an isolated growing, verrucous, pruritic, weeping mass on the left shin that has recently developed a foul odor. She has tried treating at home with alcohol, shea butter, Vaseline and peroxide without improvement.

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