I have a Gymnogeophagus caaguazuensis male whose head is deteriorating above his eyes towards his nostrils. I thought maybe it was hole in the head, but I'm not sure anymore. I feed a variety of food (primarily Xtreme bottom scratchers, vibra bites, repashy, frozen blood worms, etc.) so diet shouldn't be the issue, and my tanks run at 0 ammonia, 0 nitrite, and < 40 ppm nitrate. Currently he's in a 10 gallon quarantine tank where I've treated with two full courses of API general cure (metro and prazi; 4 total doses) with no improvement. His color is still there and he's still eating most of the time. Any other ideas of what it could be or what I could use to treat? Nothing else in his regular tank has shown symptoms. Here's a pic of his tank and a profile view of him. I couldn't catch him facing me.
Current quarantine tank parameters: 0 ammonia, 0 nitrite, 10 nitrate, pH = 7.0-7.1, GH 300+, KH = 80, temp = 74 F (23 C)