Leprosy misdiagnosed as chronic Urticaria in a migrant.

A Sri Lankan man presents with the suspicion of chronic idiopathic urticaria with angioedema, but facial swelling leads to an unexpected discovery. Thickened skin, nodules, and neurological symptoms reveal the true culprit. Leprosy challenges diagnosis in nonendemic regions. Vigilance and comprehensive assessment are crucial to unmask this great imitator.