A woman in her late twenties with systemic lupus erythematosus (SLE) was evaluated for a 1-week history of rapidly progressive tumors without systemic symptoms. Medications included hydroxychloroquine and a recently completed prednisone taper for diffuse alveolar hemorrhage following post-viral pneumonia. She denied recent travel outside the United States. She reported marijuana use and a history of methamphetamine abuse. . Examination revealed a well-appearing woman with friable, anesthetic tumors. Gram and hematoxylin and eosin staining were performed. Periodic acid–Schiff stain and acid-fast bacillus testing revealed no organisms. Tissue and blood cultures grew methicillin-sensitive Staphylococcus aureus. Intravenous vancomycin and ampicillin/sulbactam were begun with resolution of the nodules. . What is the most likely diagnosis? . A. Mycetoma B. Botryomycosis C. Nodular Kaposi sarcoma D. Cutaneous leishmaniasis E. Natural killer T-cell lymphoma . Visit the link in our bio to submit your answer for CME credit! @JAADjournals