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 × 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.
Martín JM, Calduch L, Molina I, Ruiz C, Monteagudo C, Jordá E. Ulceronecrotic Nasoparanasal Lesion—Case. Arch Dermatol. 2007;143(5):653-658. doi:10.1001/archderm.143.5.653-d