This is the first textbook to describe the recently recognized disease known as endemic elephantiasis or podoconiosis. It summarizes the author's 20 years of experience in the field, clinic and laboratory, presenting a brief history of the disease, its clinical features, etiology, pathology, management, and distribution around the world. The disease is found primarily in underdeveloped countries where many people go barefoot. It is caused by the penetration of the skin by soil particles composed of silica and alumino-siicates. The text emphasizes the importance of the early diagnosis of the disease, particularly in children and young people, and offers the information needed for treating, controlling, and preventing its occurrence.

1. The Elephantiasis Story

2. The Geographical Distribution of Endemic Elephantiasis of the Lower Legs (Podoconiosis)

3. The Natural History of Podoconiosis

4. The Lymphatics of the Foot and Lower Leg

5. The Clinical Aspect: Early Signs

6. Clinical Types and Associated Lesions

7. Aetiology

8. Pathogenesis and Pathology

9. Diagnosis

10. The Management of Podoconiosis

11. Surgery in Podoconiosis

12. The Familial Dimensions and Immunology of Podoconiosis

13. Lymphography in Podoconiosis

14. Future Prospects in Podoconiosis