For questions on page 785

Answer 1

1. True. In a neonate “any erythema that surrounds the umbilicus and extends to the abdominal wall is suspicious for omphalitis regardless of the presence of fever, and the infant should undergo a septic evaluation, the initiation of antibiotics, and hospital admission”.1

2. True. In one study of 384 patients diagnosed with cows’ milk protein allergy (CMPI) umbilical erythema was observed in 36 patients (median age 10 months). On elimination diet, the erythema disappeared within the second week. On CMPI challenge, it reappeared within 24 h. Umbilical erythema can be …