Toe burn caused by contact with a millipede
The present case has been reported in the journal Annals of Emergency Medicine.

A 58-year-old previously healthy man presented with a 1-day history of erythematous violaceous lesions on his left toes because of possible acute arterial occlusion. On physical examination, erythematous and purpuric lesions were observed on the first and second left toes.

Doppler assessment of the dorsalis pedis pulse was normal. Radiograph of the left foot showed no fracture. The patient was advised about a suspected diagnosis of a millipede burn, and 6 hours later, he returned to the emergency department with some millipedes found in his home and work boot. The patient experienced progressive improvement of skin lesions, and a complete resolution of symptoms was achieved 2 weeks after their onset.

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