A 42 yr old male presents with complaints of low-grade fevers and general malaise over the past 5 days. He denies headache, cough, vomiting or diarrhea. He has no significant PMHx. No known sick contacts, recent travel or recent illnesses. Today he awoke with a painful lesion on his nose. He is currently afebrile with normal vital signs.
1. What is this skin manifestation?
2. What is the cause?
3. What is your next step?