Vijay kumar, a 19-year-old male who had emigrated to the united states from south india two years before, developed lesions in his nasal mucosa, and nodular skin lesions on his cheeks and buttocks. examination of a stained biopsy of a skin lesion revealed numerous clumps of mycobacteria. t cells in the skin lesions were secreting il-4, il-5, and il-10. what would be the most likely diagnosis?