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