RESUMO
A 48-year-old lady presented with multiple, asymptomatic papules on upper trunk and upper extremities of 4 years duration. She gave a history of similar lesions/papules which used to heal earlier also, in a couple of weeks/months with atrophy. She had consulted many physicians and dermatologists without any relief. Biopsy from a papule showed dense nodular collection of foamy histiocytes in dermis in close proximity of neurovascular bundle. Special stain revealed absent elastic fibres in areas with infiltration. The case was diagnosed as lepromatous leprosy with elastolysis. Unusual features observed in the patient were predominant involvement of sun-exposed areas and atrophy. These signs and symptoms in the patient probably, mislead clinicians away from the diagnosis of leprosy.