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  <controlfield tag="001">ESSALUD</controlfield>
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  <controlfield tag="008">      t        pe ||||| |||| 00| 0 spa d</controlfield>
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    <subfield code="a">BMG</subfield>
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    <subfield code="a">Gray, Stacey T. </subfield>
    <subfield code="e">Autor</subfield>
    <subfield code="9">53836</subfield>
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    <subfield code="a">Case 22-2026: A 37-year-old woman with persistent nasal ulceration</subfield>
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    <subfield code="a">p&#xE1;ginas: 493-501</subfield>
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    <subfield code="a">A 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.</subfield>
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    <subfield code="a">MEDICINA CL&#xCD;NICA</subfield>
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    <subfield code="a">OTORRINOLARINGOLOG&#xCD;A</subfield>
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    <subfield code="a">INFECCIONES PASARITARIAS</subfield>
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    <subfield code="a">Geadas, Carolina D.</subfield>
    <subfield code="9">53839</subfield>
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    <subfield code="a">Sadow, Peter M. </subfield>
    <subfield code="9">53840</subfield>
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    <subfield code="0">22717</subfield>
    <subfield code="9">22638</subfield>
    <subfield code="d">Massachusetts NEJM Group</subfield>
    <subfield code="o">NEJM005</subfield>
    <subfield code="t">The New England Journal of Medicine </subfield>
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    <subfield code="x">0028-4793</subfield>
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    <subfield code="e">2026-07-31</subfield>
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    <subfield code="c">22755</subfield>
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