Introduction: Histoid Hansens disease is a very rare variant of lepromatous leprosy with nodules and plaques over normal__ampersandsignnbsp; appearing skin with characteristic histopathological and bacterial morphology and clinically simulating dermatofibromas, xanthomas, neurofibromas or reticulohistiocytosis. Case report: We report a case of histoid Hansens disease in a 34 year old male presenting with multiple papulovesicular nodules in the skin of lower back, arms, elbow and abdomen which on microscopy showed features of Histoid Hansens disease witha bacillary index of 6+.__ampersandsignnbsp; Conclusion: A high index of suspicion is necessary especially when patients present with unusual skin lesions and estimation of bacterial index is highly indicated as was proven in our case.