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Leprosy exhibits a wide spectrum of presentations, varying from the tuberculoid to the lepromatous pole, with immunologically unstable borderline forms in-between, depending on immune status of the individual. Leprosy can have a diverse manifestation of skin and peripheral nervous system. Occasionally perplexing presentations are seen. Oedema which is described as a symptom of reactional states, may occur during the course of leprosy. Both diagnosis and adequate treatment are important as failure to do so results in permanent damage. Oedema though it is a neglected subject in leprosy, it is not uncommon in patients with lepra reactions, both type 1 and type 2. Herein we report a case with bilateral pitting pedal oedema as the presenting manifestation of leprosy, shortness of breath, non healing fissure and ulcer on left lateral foot.

Atypical Presentation of Leprosy with Non-Healing Fissure and Ulcer of Left Lower Limb