RT Journal Article SR Electronic T1 An isolated case of leprosy presenting in a migrant worker in Northern Ireland JF Emergency Medicine Journal JO Emerg Med J FD BMJ Publishing Group Ltd and the British Association for Accident & Emergency Medicine SP 699 OP 700 DO 10.1136/emj.2006.037481 VO 23 IS 9 A1 S J Stafford A1 R R Wilson YR 2006 UL http://emj.bmj.com/content/23/9/699.abstract AB Leprosy was first recorded in 600 bc in India. Europe saw its first cases in the fourteenth century. The worldwide incidence is falling, but the disease can still present in the most unexpected places: this is a report of the first case of leprosy presenting to an emergency department in Northern Ireland. It is important for physicians in both community and hospital medicine to have a high index of suspicion for leprosy in patients with chronic skin conditions who were born outside the UK or other developed countries.