Photo distributed leprosy- An atypical case of borderline lepromatous leprosy

A 43 year-old-women presented with multiple red raised skin lesions over her body. Clinical and histopathological examination confirmed a diagnosis of borderline lepromatous leprosy with type 2 lepra reaction. The lesions were strikingly limited over sun exposed areas. This case represents a rare instance of photo distributed borderline lepromatous leprosy.