M. K. Padma Prasad1, Arishta Bala2
Leprosy is a unique disease that as it progresses goes into multi system involvement producing deformities. A 31 year old man had come with a resent onset flexion deformity of left middle finger. He was examined and treated by a surgeon and an orthopaedician in an army hospital as a special situation. After the surgeons and orthopaedician managed, he was referred to a dermatologist because of the skin lesion on that finger with swelling of the proximal interphalangeal joint. After examination, a skin biopsy was taken from site of lesion from the finger and result came as borderline tuberculoid leprosy with tenosynovitis and he was put on anti-leprosy treatment. He was completely cured.