Congratulations to the winner of our July quiz, Anisha Chandy, MBBS, Department of Dermatology, Christian Medical College, Vellore, India. The correct answer to our July challenge was elastosis perforans serpiginosa (EPS). For a complete discussion of this case, see the Off-Center Fold section in the August Archives (Diaz GJM, Berk D, Bruckner AL, Kim J. Annular and keratotic papules and plaques in a teenager. Arch Dermatol. 2009;145:931-936).