Introduction:

Leprosy is a complex bacterial infection caused by the Mycobacterium leprae bacillus. It can cause disability and mainly affects the skin, the peripheral nerves, the mucosa of the upper respiratory tract and the eyes.

Case report:

22 years patient with Hansen's disease, Leonine facies, with purplish colour nodular lesions spread out in the face, deformities in both hands, nodules in both arms and feet, and loss of superficial and deep sensitivity.

Conclusions:

In Ecuador leprosy can be qualified as low endemicity. The detection rate has been falling progressively over the past ten years.

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