The novel COVID-19 pandemic is rapidly evolving and has become a great challenge to the global health care system. Health care workers

A man in his 30s, employed as a painter, presented with multiple painless nodules on his right cheek of 4 years' duration. He reported episodic breathlessness, cough, and wheezing with expectoration of brownish sputum, exacerbated with exposure to hay dust, in the past 5 years. He also reported recent-onset headache while reading. Physical examination revealed a depressed plaque measuring 6 × 4 cm in the right infraorbital region, surrounded by multiple nodules of sizes ranging from 1 × 1 cm to 5 × 1 cm (Figure , A). The nodules were firm, mobile, and nontender on palpation. Local temperature was normal. There was proptosis of the right eye with mild restriction of extraocular movements on lateral gaze. Examination of the oral cavity revealed dental caries, while gingivolabial sulcus was free on bidigital examination. Nasal mucosa was normal. Respiratory system examination revealed occasional polyphonic wheeze. Chest radiography imaging showed nodular opacities in right upper zone and bronchiectasis. Punch biopsy from 1 nodule was sent for histopathological and microbiological examination (Figure, B and C).