A suspicion of leprosy was raised when hyperaesthetic hypopigmentation of skin started to appear on the body after two years, with worsening of the pinna swellings. Diagnoses ascribed include eczema, insect bite and perichondritis. This rare presentation of leprosy poses initial diagnostic difficulties, leading to misdiagnoses by various health care professionals. The bilateral pinna swelling started as multiple shiny papules with an erythematous background and progressively became hyperpigmented and lobular over two years. It has a wide spectrum of presentation affecting diagnosis.Ī 21-year-old man who presented with chronic isolated bilateral pinna swelling as a result of leprosy is reported. Leprosy or Hansen disease is a chronic infectious disease that causes social stigma due to its deforming bodily appearance and physical disability.
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