Patient Case: severe ulcerations of face without apparent trauma

A G- Med Community Dermatologist presents for consultation a 6 months old boy, that started developing severe ulcerations of face at the age of 3 months without apparent trauma. Slow progression Ulcers are painful and the child is on strong analgesics... 

 

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Any ideas in terms of ethiology, workup, treatment?

 

 

 

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