Isolated mucosal histoid hansen's disease of nasal cavity in post elimination era

Abstract

Back ground: Histoid Hansen's disease is a rare form of multibacillary leprosy whereas isolated mucosal histoid is rarer with distinct clinical and histopathological features. This type of leprosy is a variant of lepromatous leprosy with a very high bacterial reserve. Case Report: A 45 year old male was diagnosed as mucosal histoid lepromatous leprosy.It is a matter of concern as we found an isolated mucosal histoid leprotic lesion inside the nasal cavity in post-global leprosy elimination era. Our case had no history of leprosy or exposure to dapsone/ multidrug therapy, with heavy bacillary index. Discussion and Conclusion: We are reporting this case to highlight the rarity of mucosal lesion of histoid leprosy, nasal cavity involvement and to create awareness and so as to avoid misdiagnosis, which will help in prompt treatment so that we can minimize the complications and deformities of the patient and also prevent its spread in the community.