Tehran University of Medical Sciences Acta Medica Iranica 0044-6025 52 10 2014 10 15 786 787 EN Amir Kalafi Department of Dermatology, Faculty of Medicine, Shiraz University of Medical Sciences, Fars, Iran. Attiyeh Vasaghi Department of Physical Medicine and Rehabilitation, Faculty of Medicine, Shiraz University of Medical Sciences, Fars, Iran. 2015 10 11 Elephantiasis nostras verrucosa (ENV) is a rare condition in which hyperkeratosis, fibrosis and disfiguration of dermis occurs. It is caused mostly by non infectious diseases such as surgery, trauma, tumors, and venous obstructions. To our knowledge there is not any case report of ENV in Middle East region. In this patient, ENV caused by trauma and Patient presented with enlargement of right lower limb. https://acta.tums.ac.ir/index.php/acta/article/view/4547 https://acta.tums.ac.ir/index.php/acta/article/download/4547/4649