The correct answer is D. Lobomycosis.

The photo depicts extensive molluscum-like lesions. Cryptococcosis, Histoplasmosis, Coccidiodomycosis, and Penicilliosis all cause molluscum-like lesions.

Lobomycosis typically occurs in Central and South America and is associated with dolphins. It is caused by Lacazia loboi and typically presents with keloidal nodules common on the ears, face, and arms. The remaining mycoses form lesions mimicking molluscum contagiosum.

Reference: Bolognia J, Jorizzo J, Schaffer J, editors. Dermatology, 3rd ed. Philadelphia: Elsevier Saunders; 2012.

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