A 49-year-old woman presented with a 2-month history of a painful, ulcerated nasal plaque. Trials of cephalexin, rifampin, and trimethoprim sulfamethoxasole were not beneficial. Concurrent medications included prednisone 7.5 mg daily, methotrexate 10 mg weekly, and adalimumab 0.8 ml by subcutaneous injection weekly for seronegative rheumatoid arthritis.
Her family and social history were non-contributory. Physical examination Examination revealed a significant for a red, ulcerated plaque on the nasal tip extending around the alar rim and into the right nares producing mild obstruction of the right nostril (image attached) What could be the diagnosis for this patient? *This image based case is from Docplexus editorial team for educative purpose only Source: Washington school of medicine
