Histoid leprosy is a rare variant of multibacillary leprosy characterised by distinctive clinical and histopathological features. It typically presents as firm, shiny, skin-coloured to erythematous papules and nodules. Clinical presentations can vary, including keloid-like lesions and umbilicated papules, nodules with atrophic scarring. Accurate diagnosis is crucial for appropriate management and prevention of transmission. A case of long-standing histoid leprosy in a young female with atypical scarring lesions is reported. Histoid leprosy continues to challenge clinicians with its atypical presentations and diagnostic dilemmas.
