01087nam a2200205   4500001000800000007000300008008004100011040000800052041000800060100002800068245007100096300002300167520046400190650002300654650002700677650002900704700002400733700002100757773010300778ESSALUDta      t        pe ||||| |||| 00| 0 spa d  aBMG  aspa  aGray, Stacey T. eAutor  aCase 22-2026: A 37-year-old woman with persistent nasal ulceration  apáginas: 493-501  aA 37-year-old woman was evaluated in the rhinology clinic affiliated with this hospital because of persistent nasal ulceration. Seventeen years before the current presentation, the patient noticed a painful bump inside the right naris. Associated scabbing was present. The patient removed a scab from the lesion multiple times each week, and there was intermittent bleeding from the lesion. She used an unknown nasal spray daily, with no decrease in symptoms.  aMEDICINA CLÍNICA  aOTORRINOLARINGOLOGÍA  aINFECCIONES PASARITARIAS  aGeadas, Carolina D.  aSadow, Peter M. 0 022717dMassachusetts NEJM GroupoNEJM005tThe New England Journal of Medicine wESSALUDx0028-4793