When did elephantiasis start?

Elephantiasis, characterized by severe swelling often due to lymphatic filariasis, has been documented for centuries. Historical references suggest that the condition was recognized in ancient texts, with descriptions dating back to at least 400 BC in the works of Hippocrates. However, the specific identification of the condition and its causes evolved significantly over time, particularly in the 19th century when the relationship between the disease and filarial parasites was established.