Clinical Pearl from Dr. @JKolfenbach ⭐️AAV doesn't typically cause hard palate lesions Instead, consider: ➡️Cocaine-induced midline destructive lesion ➤try to send human neutrophil elastase ab (+ in cocaine use but not in AAV) ➡️Malignancy (NK T-cell lymphoma) #ACR21 @RheumNow https://t.co/KIEXgCR23c