A rare case of Hansen’s disease with thyroid disorder

A 29-year-old female presented with complain of swelling in front of neck since 1year. Patient had multiple skin-coloured raised lesions. On examination-solitary swelling in the midline of neck. After necessary routine investigations, surgery was withheld has patient was diagnosed with lepromatous leprosy and was started on MDT (multidrug therapy). After 6months of treatment, patient underwent left hemithyroidectomy. Endocrine disorders are often silent unreported and remain undiagnosed in patients of leprosy because of its late occurrence in the course. Even though it’s a rare presentation leprosy patient can present with endocrine disorders and such patients should be evaluated thoroughly in the initial stages so that the complications can be prevented.