An Unsuspected Case of Relapsed Multibacillary Leprosy

Leprosy, a chronic granulomatous infection caused by Mycobacterium leprae, commonly affects the skin and nerves. Because of its many different manifestations, leprosy can be easily misdiagnosed as syphilis, sarcoidosis, lymphoma, leishmaniasis, and cutaneous tuberculosis1. Since multidrug therapy (MDT), the prevalence of leprosy has decreased to <1 in 10,000. However, there are still newly diagnosed and relapsed cases. We report an unsuspected case of relapsed multibacillary leprosy.