Medical School, The University of Sydney, Camperdown, NSW 2050, Australia We present two patients with elephantiasis nostras verrucosa of the lower limbs which improved with oral acitretin. One patient was young and otherwise well while the other was a diabetic with multiple co-morbidities. The treatment was well tolerated and resulted in flattening of verrucous and hyperkeratotic skin lesions ...

To cite: Manupati S, Ahmed FZ. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2016214720 DESCRIPTION A 70-year-old woman with ischaemic cardiomyopathy was admitted and treated for de-compensated congestive cardiac failure (CCF). She had previously received treatment for recurrent episodes of lower limb cellulitis and reported progressively worsening swelling inte...