Congratulations to the winner of our September quiz, Dr Vijay Adhe, Department of Dermatology, Seth Gordhandas Sunderdas Medical College and King Edward Memorial Hospital, Mumbai, India. The correct answer to our September challenge was scurvy. For a complete discussion of this case, see the Off-Center Fold section in the October Archives (Chisholm C, Brouha B, Lee P, Hansen D, Cockerell C. Lower extremity purpura in a woman with psychosis. Arch Dermatol. 2010;146:1167-1172).