Mishra, SMadhual, S.2025-08-132025-08-132025-03Mishra S, Madhual S.. Lepromatous Leprosy: A Rare and Unusual Presentation in the Post - Elimination Era. Indian Journal of Leprosy . 2025 Mar; 97(1): 83-870254-9395https://imsear.searo.who.int/handle/123456789/250252Leprosy is a multi-spectrum disease ranging from tuberculoid to highly infectious lepromatous poles with varying morphology like hypopigmented to erythematous macules, papules, plaques, nodules with variable range of lesional loss of sensation. Even after elimination as a public health problem, it is still prevalent in some parts of India. The simultaneous coexistence of large erythematous plaque and multiple hypopigmented macules in lepromatous leprosy is an underreported entity till date in the previous literatures. Therefore, we are reporting a case of 43-year old male of lepromatous leprosy having normoaesthetic hypopigmented macules and the erythematous plaque, which make this case unusual.Lepromatous LeprosyUnusual PresentationNormoaestheticHypopigmented MaculesErythematous PlaquesJournal ArticleIndiaSenior Resident, Department of Dermatology, Institute of Medical Sciences (IMS) and SUM Hospital, Bhubaneswar, Odisha-751003, IndiaAssistant Professor, Department of Dermatology, Institute of Medical Sciences (IMS) and SUM Hospital, Bhubaneswar, Odisha-751003, India