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A garlic burn
  1. Olivia Sharp1,
  2. Saima Waseem2,
  3. Kai Yuen Wong3
  1. 1Plastic Surgery, Queen Alexandra Hospital, Portsmouth, UK
  2. 2Plastic Surgery, Guy’s and St Thomas' NHS Foundation Trust, London, UK
  3. 3Plastic Surgery, Oxford University Hospitals NHS Foundation Trust, Oxford, UK
  1. Correspondence to Kai Yuen Wong, kaiyuen.wong{at}

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A 45-year-old woman presented with a 12 hour history of painful blisters and erythema over the dorsum of her left great toe. The patient reported applying freshly sliced raw garlic to the dorsum of her left great toe during the past 4 weeks for up to 4 hours a day to treat a fungal nail infection.

On examination, the left great toe was swollen, erythematous and blistering. Her great toenail was yellow and slightly lifted from the nail bed. Clinically, she had a partial thickness burn and onychomycosis (figure 1). The skin on the toe was pH 9. The toe was irrigated …

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