Elliott is a nine-month-old boy who is brought in for review of an umbilical nodule.

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<p>Elliott is a nine-month-old boy who is brought in for review of an umbilical nodule.</p><p>He had a suspected umbilical granuloma treated with silver nitrate at two months of age, which improved, then recurred and has gradually enlarged.</p><p>There is no associated bleeding. Elliott is otherwise well, with no past history of note.</p><p>On examination, vital signs are within normal limits.</p><p>There is a small, firm, non-tender red nodule at the umbilicus with an accumulation of white scales on the surface and surrounding skin.</p>

Dr Kate Kelso is a GP and medical editor at Australian Doctor.