What is the Diagnosis?

Today's diagnostic challenge is from The New England Journal of Medicine and it is pretty straight forward.  Click on the image for a better view and make your diagnosis.  Check back tomorrow for the answer.

1.  Granulomatosis with polyangitis
2.  Lepromatous leprosy
3.  Neurofibromatosis type 1
4.  Sarcoidosis
5.  Tertiary syphilis

Don't be shy.  Post your guess in the comments section.