Congratulations to the winner of our June quiz, Kaliaperumal Karthikeyan, MD, Sri Manakula Vinayagar Medical College, Puducherry, India. The correct answer to our June challenge was multiple leiomyomatosis. For a complete discussion of this case, see the Off-Center Fold section in the July Archives (Kovalyshyn I, Spencer PS, Busam KJ, Marghoob AA. Multiple tender papules in a 48-year-old man. Arch Dermatol. 2009;145:829-834).