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When that happens, your skin may: Turn black, brown, or white Appear leathery Hurt or go numb Fourth-degree burn symptoms A burn that goes through all the layers of your skin into deeper tissue can: Cause numbness in the damaged area Destroy other tissue, including fat, muscle, and sometimes bones Burn Causes Heat sources are the most common cause of burns

doi: 10.1093/ntr/ntx271 22

The Bertrands were identified as coming from the Pamplin area of Virginia