Pericardial Calcification Associated with Leprosy: a Rare Combination

Majority of pericardial calcifications in the tropics are claimed to be of tuberculous origin. Other known causes include among other things uraemia, asbestosis, and post traumatic/post operative. We report a case of pericardial calcification not associated with constrictive pericarditis seen in a patient with established leprosy. Although a direct causal relationship cannot be established between leprosy and pericardial calcification, the well known condition of cardiac amyloid, a complication of leprosy might have contributed in the pathophysiology of the development of pericardial calcification in our patient. The inclusion of leprosy in the differential diagnosis of the aetiology of pericardial calcification in the tropics is suggested.