We report a case of leprosy presented with a nasal tip necrosis in a female in her 50s with no, apparently, risk factors of leprosy. We highlight the importance of taking a thorough clinical history and widen the differential diagnosis to avoid misdiagnosis and delay of treatment.

Leprosy is a chronic granulomatous disease caused by Mycobacterium leprae. Leprosy occurrence in Saudi Arabia is rare, it was reported that 242 freshly diagnosed leprosy cases were in Saudi Arabia from 2003 to 2012. This report aims to provide awareness, avoid misdiagnosis, and to introduce the manifestations of leprosy.