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A 5-month-old infant presented to a clinic to monitor growth following premature birth as one of twins at 24 weeks gestation. The mother reported the child to have a cough, abdominal distension and decreased feeding over the last week. The child was well, with a normal examination but multiple scab marks were noted to her trunk and extremities (figures 1 and 2). There were no other concerns …
Contributors TL was involved with the patient management, collected consent from the family and wrote the initial manuscript and put together the images. KAA and NJ are part of the Sidra Safeguarding and Child protection team and contributed the writing of the article. CP contributed to the writing and editing of the text and submission of the manuscript.
Competing interests None declared.
Provenance and peer review Not commissioned; internally peer reviewed.
Patient consent for publication Parental/guardian consent obtained.
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