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1. Cases are presented to show that blackthorn inflammation is not uncommon in the West Midlands.
2. The pathology is that of a chronic non-suppurative inflammation.
3. Cases are divisible into three groups on the basis of their history. In the third group, with no history of blackthorn trauma, diagnosis may be very difficult.
4. Removal of the blackthorn fragments causes prompt resolution of the inflammation.
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