Congratulations to the winner of our August quiz, Patrick McCleskey, MD, David Grant USAF Medical Center, Travis Air Force Base, California. The correct answer to our August challenge was multiple cutaneous angiomyxomas. For a complete discussion of this case, see the Off-Center Fold section in the September Archives (Casimiro LM, Argente CL, Carazo JLS, Alegre de Miquel V. Multiple asymptomatic papules on the face. Arch Dermatol. 2008;144:1217-1222).