To cite: PérezRodríguez IM, OcampoGarza J, Garza-Chapa JI, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2014207574 DESCRIPTION A 48-year-old man with morbid obesity was evaluated for atrial fibrillation. He had a history of abdominoplasty and had been bedridden since the procedure. His current weight was 394 kg and his previous weight 567 kg. He presente...

Congestive heart failure (CHF) and obesity are common medical conditions that have many complications and an increasing incidence in the United States. Presented here is a case of a disfiguring skin condition that visually highlights the dermatologic consequences of poorly controlled CHF and obesity. This condition will probably become more common as CHF and obesity increase in the US.

OBJECTIVE Elephantiasis nostras is a rare complication in advanced lipo-lymphedema. While lipedema can be treated by liposuction and lymphedema by decongestive lymphatic therapy, elephantiasis nostras may need debulking surgery. METHODS We present 2 cases of advanced lipo-lymphedema complicated by elephantiasis nostras. After tumescent microcannular laser-assisted liposuction both patients un...

Pretibial myxedema (PTM) is usually a late manifestation of Graves' disease and is relatively rare. The elephantiasis nostras variant comprises less than one percent of patient with pretibial myxedema. We report two cases of elephantiasic PTM and review the literature regarding its treatment. Therapy of the elephantiasic variant of PTM remains suboptimal at present. ( J Intern Med Taiwan 2004; ...