A Concerning Palatal Ulcer

A 50-year-old woman with a 3-year history of Nasal Obstruction presents with a new painless palatal ulcer and a swollen lip. What could be the diagnosis?

Extranodal natural killer T-cell lymphoma


A 50-year-old woman presented to the dermatology clinic with a painless ulcer on her palate and a swollen upper lip. She had an associated history of intermittent fevers and malaise. She described nasal obstruction with purulent discharge for the last 3 years, for which she received treatment with intranasal glucocorticoids and antibiotics. What is the diagnosis?

What is the most likely diagnosis?

Mycobacterium ulcerans infection
Glucocorticoid induced ulceration
Extranodal natural killer T-cell lymphoma
Plasmacytoid dendritic cell neoplasm
Necrotizing sialometaplasia

Epstein-Barr Virus, Extranodal natural killer T-cell lymphoma, Lymphoma, Nasal Obstruction, Palatal ulcer

Leave a Comment