A patient presents with chronic swelling of the lower extremities and circumferential lesions on both lower legs of several years duration. The patient’s legs are now as shown in the image. Which of the following is the most likely diagnosis?

A. Lipodermatosclerosis

B. Elephantiasis nostras verrucosa

C. Deep fungal infection

D. Podoconiosis

E. Pigmented purpuric dermatosis

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