TY - BOOK AU - Gray, Stacey T. AU - Geadas, Carolina D. AU - Sadow, Peter M. TI - Case 22-2026: A 37-year-old woman with persistent nasal ulceration KW - MEDICINA CLÍNICA KW - OTORRINOLARINGOLOGÍA KW - INFECCIONES PASARITARIAS N2 - 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 ER -