01090nas a2200289 4500000000100000008004100001260001200042653002300054653002200077653006300099653002100162653001500183653001800198100001700216700001600233700001400249700001100263700001100274700001200285700001300297700001800310700001400328700001300342245006000355520037100415022001400786 2023 d c07/202310aHansen’s disease10aAcid fast bacilli10aerythematous subcutaneous nodules: immune complex reaction10aLeprosy reaction10atratamento10askin disorder1 aMagnaterra E1 aScandagli I1 aZuccaro B1 aMaio V1 aSimi S1 aMassi D1 aFiallo P1 aFrancalanci S1 aDifonzo E1 aPisano L00aLeprosy misdiagnosed as chronic Urticaria in a migrant.3 a

A Sri Lankan man presents with the suspicion of chronic idiopathic urticaria with angioedema, but facial swelling leads to an unexpected discovery. Thickened skin, nodules, and neurological symptoms reveal the true culprit. Leprosy challenges diagnosis in nonendemic regions. Vigilance and comprehensive assessment are crucial to unmask this great imitator.

 a1708-8305