01246nas a2200181   4500000000100000008004100001260001200042653001200054653002500066653001900091653001600110100001200126700001400138245005000152300002000202520082800222022001401050       2021                            d  c06/202110aleprosy10aMycobacterium leprae10achest diseases10apulmonology1 aTorun S1 aKaraman I00aLeprosy suspect presenting at a chest clinic.  a4947552110196033 a<p>Leprosy is an ancient ailment, also known as Hansen's disease. It primarily involves the superficial peripheral nerves, skin, upper respiratory tract mucosa, eyes, bones and testicles, but not the lungs. Although leprosy patients are not included in the study area of pulmonology, here we present an undiagnosed leprosy patient with a history of smoking, who was referred owing to upper respiratory tract symptoms and bilateral pleural effusions. From this undiagnosed case, we would like to draw specific attention of pulmonologists, since a patient with leprosy can present in this way due to hypoalbuminemia resulting from a systemic inflammatory state, which may then progress to sepsis. Collaboration of different specialists may be required to clinch extra-neurological and extra-cutaneous features of leprosy.</p>  a1758-1133