Ultimately, to find out what is going on you should arrange to have a skin biopsy taken of the abnormal area and submitted to a pathologist. My guess is that it will be some kind of immune system over-reaction, in which case the steroids might make sense.
Of course, if Sophie is not uncomfortable, you can probably do nothing. (She might appreciate it.)
I doubt Sophie has a life-threatening condition, but I would recommend having a biopsy done to get some answers.
Best,
Jon Geller, DVM
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