Palatal perforation in Erythema Nodosum Leprosum (ENL) case of hansen’s disease: A case report

Leprosy (Hansen’s disease) is mainly affecting skin & nerve. Lepra reaction is common amongst leprosy patient. We report 64 year female patient who completed MB-MDT treatment and was on steroid therapy for treatment of ENL reaction. We observed unusual presentation of palatal perforation which rarely seen in ENL case. On examination it found that perforation was present on hard palate midline at the level of first molar tooth. Such type of presentation rarely seen in ENL cases till date few such reports have published in the journals.

Keyword: Multi-bacillary leprosy case, Chronic ENL reaction, palatal perforation.