Congratulations to the winner of our November quiz, Lélia Melchior da Silva Gallo, MD, Department of Dermatology, Fluminense Federal University, Niterói, Rio de Janeiro, Brazil. The correct answer to our November challenge was patent vitello-intestinal duct. For a complete discussion of this case, see the Off-Center Fold section in the December Archives (de Zwart-Storm EA, Wouda S, de Rooij MJM. A cherry-red umbilical papule in an infant. Arch Dermatol. 2009;145:1447-1452).