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Case Reports
. 2014 Jun;31(3):187-90.
doi: 10.5114/pdia.2014.40929. Epub 2014 Jun 13.

Flagellate dermatitis after consumption of Shiitake mushrooms

Affiliations
Case Reports

Flagellate dermatitis after consumption of Shiitake mushrooms

Agnieszka B Czarnecka et al. Postepy Dermatol Alergol. 2014 Jun.

Abstract

Flagellate dermatitis occurs in patients who have eaten Shiitake mushrooms. We are reporting on a 55-year-old man, who developed whiplash-striped, severely itching efflorescences on the trunk 3 days after eating Lentinula edodes. Flagellate dermatitis is also known as a cutaneous side effect of bleomycin therapy.

Keywords: Shiitake mushrooms; flagellate dermatitis; latency; toxicoderma; whiplash-like efflorescences.

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Figures

Figure 1
Figure 1
Shiitake mushroom
Figure 2
Figure 2
Parallel, striped whiplash-like infiltrated erythemas with severe itching on the trunk
Figure 3
Figure 3
Close-up view of parallel, striped whiplash-like infiltrated erythemas on the trunk
Figure 4
Figure 4
Papulovesicles on urticarial erythemas on the right shoulder
Figure 5A–B
Figure 5A–B
Histopathology (skin punch biopsy): severe edema of the Stratum papillare, mild focal (not spreading) acute lymphocytic eczema reaction, superficial, cuff-shaped perivascular lymphocytic infiltrate

References

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    1. Maier T, Herzinger T. Flagellanten dermatitis auf Shiitake-Pilze. Hautarzt. 2007;58:1021–2. - PubMed
    1. Wagner G, Sachse MM. Parallel angeordnete streifenförmige Erytheme am Nacken, an den Schultern und am vorderen Dekollete. J Dtsch Dermatol Ges. 2011;9:555–7. - PubMed

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