[Acute erythermalgia: look for mushrooms!].
BACKGROUND
To describe the first European observation of erythromelalgia due to mushroom poisoning.


METHODS
Seven cases observed and followed over 4 years are reported. All ill patients had eaten the same mushroom species, gathered in the same French alpine valley. Clinical features of erythromelalgia were observed. This syndrome was first described in Japan after Clitocybe acromelalga ingestion. It had never been observed in Europe before. Clitocybe acromelalga does not grow in Europe. Clitocybe amoenolens was identified as the possible cause of poisoning in our cases. This species can be confused with an edible mushroom, Lepista inversa.


CONCLUSIONS
Even in Europe, recent mushroom poisoning is a possible cause of erythromelalgia.
Saviuc
P F
PF
Unité de toxicologie clinique, département pluridisciplinaire de médecine, centre hospitalier universitaire, BP 217, 38043 Grenoble, France. PSaviuc@chu-grenoble.fr
Danel
V C
VC
Moreau
P A
PA
Claustre
A M
AM
Ducluzeau
R
R
Carpentier
P H
PH
D000328:Adult; D003937:Diagnosis, Differential; D004916:Erythromelalgia / Q000209:etiology*; D005260:Female; D006801:Humans; D008297:Male; D009145:Mushroom Poisoning / Q000150:complications* / Q000175:diagnosis; D013577:Syndrome