Uncommon clinical presentations of leprosy: apropos of three cases

Abstract

Leprosy has been labelled as a great imitator since times immemorial. This mainly is because of the wide range of its clinical presentations. In endemic regions it is important to entertain the possibility of leprosy even in atypical presentations so as to avoid misdiagnosis. Here we report three cases of leprosy with uncommon disease presentations. First case had presented with eczematous morphology of cutaneous lesions without sensory loss and nerve thickening. Second case had localized type-2 reaction and third case had presented initially with only rheumatologic manifestations. Histopathology is an important tool in arriving at correct diagnosis and thus should be done in all suspected cases.