An unusual presentation of lepromatous leprosy as verrucous growth in the oral cavity

Leprosy is a multisystem disorder with various spectrum of cutaneous findings. In the initial era of the history of leprosy, mucosal lesions were typical. Of late, mucosal findings have remarkably declined because of early treatment of leprosy. However, oral lesions have eminent epidemiological significance, given their role in disease transmission. Oral findings are more common in multi-bacillary leprosy, and patients usually present with evident skin lesions. The hard palate is the commonest site of oral involvement. Clinical lesions do not always show specific histology of leprosy. Specific histologic features are important in disease transmission as well as recurrent reactions. Here, we report a case of multi-bacillary leprosy presenting as oral verrucous lesions in the soft palate, with histologic evidence of specific changes of leprosy. In this interesting case, a few cutaneous papules were noted during physical examination of the patient. We report this case to emphasis the irrefutable socioeconomic impact of oral lesions in leprosy.