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Acetone-free nail polish removers are widely used and perceived as safe. However, an ingredient γ-butyrolactone (GBL) is readily converted into γ-hydroxybutyrate (GHB), which has well-known toxic effects. A previously well 9-month-old child was found sucking on two nail polish remover pads. The period the pads were in his mouth did not exceed 1 min. Within 15 min, he vomited and became drowsy; after 30 min he was in a coma with a Glasgow …
Competing interests: None.