A 93-year-old woman presented with an asymptomatic, erythematous plaques and subdermal nodules on the face and extremities with tendency of increasing in size and number. The patient had a history of hypertension, cardiovascular disease, osteoporosis and no history of immunocompromised state. A punch biopsy specimen on the face and extremities revealed diffuse infiltration of foamy histiocytes with perineural inflammation separated from the epidermis by a grenz zone. Acid-fast bacilli were seen in Ziehl-Neelsen stain with clumps called golbi. Following the guideline, she was treated with dapsone 100mg daily and showed clinical improvement.