2.1 Case history and examination
Our case is a 40-year-old man who presented to our primary health centre with complaints of fatigue, jaundice and mild abdominal pain for 1 week. He has been diagnosed as a case of multibacillary leprosy 3 weeks earlier and has been started on anti-leprosy drug regimen for 3 weeks (Rifampin 1200mg daily, Dapsone 100 mg daily and Clofazimine 50 mg daily). His total cumulative dose of dapsone was 2100 mg. Examination showed icteric sclera and pallor over nails and palms, mild tenderness over right hypochondrium and epigastrium with no evidence of hepatomegaly and there were regressing leprosy skin lesions over dorsum of right hand and left foot. Rest of the examination was unremarkable. His vitals were normal.