ABSTRACT: Five patients with varying severities of hyperkeratotic verrucous thickening at the skin illustrate that the condition may occasionally become elephantoid and occurs in some cases of long-standing lymphedema regardless of its cause. The morphologic term “elephantiasis” has been as sociated with the end of lymphedema, but his been used by different authors to mean different things and has, therefore, became imprecise. The noun “lymphedema” modified by the appropriate adjective is more accurate in describing these skin changes. Under the beading-“elephantiasis”–Index Medicus now states–“see lymphedema”