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How long has this been going on?
Thanks for the additional information. It would require a culture to determine what the pimples are. I'm sorry your doctor didn't do this when you first discussed it with him. There are literally dozens of things it can be: bacterial, viral, allergic, parasitic. If your own doctor isn't helping, perhaps your client's doctor will pay attention to her symptom.
It isn't all that uncommon to lose some nose hair as we age. It can also be lost due to allergies or asthma and the constant irritation that goes with them. An ENT (ear, nost, throat) specialist is the person to see about this.
Please let me know if you have additional questions about this.