A Rare Case of Lingual Leproma in Multibacillary Leprosy

Authors

Lina Benchekroun, Hanane Darghal, Mariame Meziane, Nadia Ismaili, Laila Benzekri, Karima Senouci

Journal Information

Journal: Medpeer Publisher

ISSN: 3066-2737

Volume: 2

Issue: 7

Date of Publication: 2025/07/05

DOI: 10.70780/medpeer.000QGO0

Abstract

Nodular oral lesions are rare but significant findings in patients with multibacillary forms of Hansen’s disease. We present the case of a 41-year-old woman with borderline lepromatous leprosy, whose clinical picture included typical cutaneous features such as leonine facies and nodules on the extremities, but also a rare leproma located on the midline of the tongue. The diagnosis was supported by histopathological analysis and electromyography revealing peripheral neuropathy. The patient responded to standard multidrug therapy. This case highlights the importance of inspecting the oral mucosa during evaluation of leprosy, especially in patients with high bacterial loads and cutaneous infiltration. Early detection of lingual lepromas may provide crucial diagnostic and staging information in multibacillary disease.

Keywords

Lepromatous leprosy, Lingual leproma, Oral lesions, Mycobacterium leprae