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Ulceronecrotic Nasoparanasal Lesion—Case
José M. Martín, MD;
Luis Calduch, MD, PhD;
Inmaculada Molina, MD;
Carmen Ruiz, MD;
Carlos Monteagudo, MD, PhD;
Esperanza Jordá, MD, PhD
Hospital Clínico Universitario, Valencia, Spain
Arch Dermatol. 2007;143(5):653-658.
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REPORT OF A CASE
A 35-year-old woman presented with a 1-year history of a severely ulcerating, painful inflammation of the left nasal and perinasal areas. Physical examination revealed a necrotic ulcer measuring 1 x 2 cm in depth in the left subnasal sulcus, with raised margins and an exudative surface (Figure 1). Also, the cartilaginous nasal septum was partially lost, and there was a scar on the right nostril. There were no associated systemic symptoms. The patient denied drug abuse, although she had been using vasoconstrictive nasal drops for the last 3 months because of nasal congestion.
Figure appears in full text version.
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The results of laboratory tests, including a hemogram, biochemistry profile, and erythrocyte sedimentation rate, were within normal limits. A serum sample was positive for proteinase 3 antineutrophil cytoplasmic antibodies (ANCAs) (43 . . . [Full Text of this Article]
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Ulceronecrotic Nasoparanasal LesionDiagnosis
Arch Dermatol. 2007;143(5):653-658.
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