Case 1

A 58-year-old obese African American man with congestive heart failure presents with swelling and lesions on his lower extremities. He first noticed the swelling 2 years earlier, and several painless, wart-like lesions have developed over the past few months. He reports having had a few skin infections in the same region for which his primary care provider prescribed antibiotics. On examination, the patient has bilateral nonpitting lower extremity edema with overlying verrucous lesions. A positive Stemmer sign is noted.

Can you diagnose the condition in Case 1?

A.  Venous stasis dermatitis
B. Elephantiasis nostras verrucosa
C. Deep venous thrombosis
D. Filariasis

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