[Shiitake dermatitis: flagellate dermatitis after eating mushrooms].
The name of flagellate dermatitis originates from self-flagellating medieval people. This dermatitis is not rare as a drug eruption following bleomycin therapy. An identical skin eruption caused by the mushroom shiitake Lentinus edodes is more common but reported mostly from Japan. We saw a 67-year-old patient who presented with the typical linear scratch marks after a dinner in a Chinese restaurant. The basic mechanism is a toxic epidermal damage. Since it is not clear why the dermatitis does not occur frequently since Shiitake is the second most popular mushroom in the world, we discuss possible cofactors that may trigger the toxic reaction.
Klinik für Dermatologie, Venerologie und Allergologie mit Asthmapoliklinik, Universitätsklinikum Charité, Humboldt-Universität Berlin.
N
N
Haas
R
R
Vogt
W
W
Sterry
D000284:Administration, Oral; D000368:Aged; D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D001706:Biopsy; D003872:Dermatitis / Q000188:drug therapy / Q000209:etiology* / Q000473:pathology; D005500:Follow-Up Studies; D006634:Histamine H1 Antagonists / Q000008:administration & dosage / Q000627:therapeutic use; D006801:Humans; D007275:Injections, Intravenous; D008297:Male; D009145:Mushroom Poisoning / Q000175:diagnosis / Q000188:drug therapy; D011239:Prednisolone / Q000008:administration & dosage / Q000627:therapeutic use; D012867:Skin / Q000473:pathology; D013997:Time Factors
D000893:Anti-Inflammatory Agents; D006634:Histamine H1 Antagonists; D011239:Prednisolone