In ulnar nerve paralysis due to leprosy, the little finger assumes the position of constant abduction secondary to paralysis of adductor digiti minimi and is considered the earliest sign of ulnar nerve affection [2]. WAX DOLI SIGN Bagginess of the eyelids and bloated faces that give the patient an appearance of a wax doli. A sign of myxoedema. Also known as Marshalls sign [3-5].