A diagnosis of Latapi’s lepromatosis (Lucio’s leprosy) is usually established in the setting of Lucio’s phenomenon. The report by Diogenes et al. showed that Latapi’s lepromatosis can be diagnosed in the absence of Lucio’s phenomenon. Our clinical experience with 30 patients with Lucio’s phenomenon and Latapi’s lepromatosis has indicated what features are strongly suggestive of Latapi’s lepromatosis. We then recognised that one of our patients in our earlier series probably had Latapi’s lepromatosis at the time of presentation. Also this patient was on the brink of puberty at the time of diagnosis.