An 83-year-old man presents to you with new-onset vesicular rash around the right upper quadrant of his face that he tells you is very painful (see image).
On examination, you note that the rash also appears on the tip of his nose. What is the significance of this finding?
- About one-third of patients with this finding will also develop oral lesions.
- This finding is a strong predictor of immunosuppression and disseminated vascular disease.
- This finding doubles the patient’s risk of developing chronic ocular inflammation with possible vision loss.
- This finding is an independent predictor for the presence of an autoimmune disorder.
- This finding should prompt a thorough examination of the ear.
This question appears in Med-Challenger Family Medicine Exam Review with CME
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