Lepra de Wade

Wade’s leprosy or histoid leprosy is a rare variant of this disease, with distinct clinical, bacteriological, and histopathological findings. The presence of lepromas of considerable size, a high bacillary index, and fusiform histiocytes arranged in a whorled pattern are characteristic. It has been reported to manifest “de novo” or as relapse after long-term dapsone monotherapy, inadequate schemes and also after successful treatments. We present a case of Wade’s leprosy without a prior history of any antileprosy treatment.