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acute asian background bacterial boy burmese burrow burrows called child contagious crust dermatology dirty erythema erythematous fingers hand hands infected infection infectious infestation inflammation intense invasion isolated itching itchy lesions little liver multiple myanmar numerous often paediatric pain painful palm palmar pediatric portrait pruritus pustule pustules pyogenes rash red right rupture scabies scale secondary skin southeast staphylococcal streptococcus vesicles white woman young