Conclusion
Because of the decrease of reported cases over the past several years, leprosy is not considered as a major public health problem in Saudi Arabia. Nevertheless, it has not been eradicated yet. Up to our knowledge, no similar case was reported regarding nasal tip necrosis. Leprosy could be one of the differential diagnoses of nasal tip necrosis, which has not been reported before. This case shows the importance of maintaining a high suspicion index for leprosy even in non-endemic areas.