Congratulations to the winner of our June quiz, Dipankar De, MD, Department of Dermatology, Post Graduate Institute of Medical Education and Research, Chandigarh, India. The correct answer to our June challenge was coccidioidomycosis. For a complete discussion of this case, see the Off-Center Fold section in the July Archives (Gallo ES, Pehoushek JF, Crowson AN. An exophytic nasal nodule. Arch Dermatol. 2010;146:789-794).