This spot appeared with another on the tail fin in the matter of two hours on my Foxface. It doesn't look like Ich to me. He is swimming just fine, hasn't sought out the cleaner shrimp I have or bumped rocks. I have been running UV on this tank for the past month in preperation for a Tang I have purchased which is QT still.
http://reefcentral.com/gallery/showgallery.php?cat=500&stype=1&thumb=1&si=PA260002part
http://reefcentral.com/gallery/showgallery.php?cat=500&stype=1&thumb=1&si=PA260002part