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Case Reports
. 2019 Oct;70(10):811-814.
doi: 10.1007/s00105-019-4420-x.

[Reflectance confocal microscopy in Shiitake dermatitis]

[Article in German]
Affiliations
Case Reports

[Reflectance confocal microscopy in Shiitake dermatitis]

[Article in German]
Christiane S Cussigh et al. Hautarzt. 2019 Oct.

Abstract

Shiitake dermatitis usually occurs 1-2 days after consumption of incompletely cooked or raw shiitake mushrooms and is characterized by linear, pruritic, erythematous papulovesicular rashes. It is caused by lentinan, a polysaccharide component of the cell walls of shiitake mushrooms. The histological examination showed an eczema-like morphology with spongiosis and lymphohistiocytic infiltrates. The results of reflectance confocal microscopy (RCM) correlated with the histopathological investigations. Therefore, RCM can be used for non-invasive diagnostic confirmation of Shiitake dermatitis in the future.

Keywords: Diagnostic imaging; Eczema; Lentinan; Pruritus; Shiitake mushroom.

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