173 M.Ajay kumar Review:https://ajaypavankumarreddy.blogspot.com/2021/04/leprosy-lepra-reactions-35-year-old.html This is an online e log book to discuss about patients de identified data shared after taking his/her /guardian signed informed consent Case details: A 35 year old male patient,Resident of Ramachandrapuram, Hyderabad,works as daily wage labourer. Who is a chronic smoker(1 pack of beedi every 2 days) and taking alcoholic (90 ml daily) since 20 years. Presented,with 3 months history of painless lesions papules with erythema that started initially over face then extended to upper limb and lower limb, trunk. No hypodense lesions,no fever,no pus discharge,no loss of sensation,no genital lesions. Patient got topical cream,soap and some oral drugs from medical shop.OTC He used for 2 months few lesions regressed,but few persisted on nose,earlobe and on trunk,hands,legs. 14 days back patient developed blackish skin discoloration over hands and feet with skin p