case_images: PMC10026124_01
case_images: (a) Coalescing eroded plaques with a snail track appearance obstructing
  anterior nares. (b) Presentation 3 weeks after initiating treatment with
  systemic corticosteroids.
case_images: 10.1177_2050313X231160909-fig1.jpg
case_images: PMC10026124_01_10.1177_2050313X231160909-fig1.jpg
case_images: fig1-2050313X231160909
case_images: Clinical examination revealed erythematous and eroded plaques involving his nares and upper lip (Figure 1).
case_images: (a) Low-power H + E micrograph depicting a dense infiltrate of plasma cells
  and eosinophils with destruction of epidermis and appendageal structures.
  (b) High-power H + E micrograph showing dense eosinophilic infiltrate
  without cellular atypia.
case_images: 10.1177_2050313X231160909-fig2.jpg
case_images: PMC10026124_01_10.1177_2050313X231160909-fig2.jpg
case_images: fig2-2050313X231160909
case_images: A skin biopsy showed a dense mixed inflammatory infiltrate including numerous plasma cells and eosinophils (Figure 2).