A Rare Presentation of Histoid Leprosy: A Case Report

Histoid Leprosy is an expression of multibacillary leprosy, characterized by typical cutaneous and subcutaneous nodules and plaques present over an apparently normal skin and histopathologically the predominance of spindle-shaped cells or polygonal cells and unusually large number of acid fast bacilli. We report a case of histoid leprosy which was insidious in onset with multiple discrete lesions after release from treatment as a case of Hansen's disease seven years back. Initial FNAC report from a lesion revealed hemangioma which was unusual in presentation. He was later diagnosed clinically and histopathologically as a case of histoid leprosy.