TY - JOUR
AU - Tokuda,, Y
AB - An 81-year-old Japanese man presented with gradual onset of extensive pruritic skin eruption. He had well-controlled diabetes and he denied any systemic symptoms or recent exposure to new medication. The patient reported eating a large amount of half-cooked shiitake mushroom (Lentinula edodes) as an ingredient of Sukiyaki in 12 h before developing the cutaneous lesions. On physical examination, pruritic erythematous to violaceous streaks were distributed in a flagellate pattern symmetrically mainly on the trunk without mucosal lesions (Figure 1). Based on the typical history and the specific rash resembling a whiplash mark, he was diagnosed with shiitake dermatitis caused by shiitake mushrooms. Shiitake is the second most consumed mushroom in the world and its intake can cause shiitake dermatitis about 5–60 h after consumption of raw or half cooked. Typical linear flagellated erythema is usually self-limited and only requires symptomatic treatment with antihistamines. Figure 1 Open in new tabDownload slide Multiple, partly parallel, whiplash-like streaks of erythema on the trunk. Figure 1 Open in new tabDownload slide Multiple, partly parallel, whiplash-like streaks of erythema on the trunk. Conflict of interest: None declared. © The Author 2017. Published by Oxford University Press on behalf of the Association of Physicians. All rights reserved. For Permissions, please email: journals.permissions@oup.com
TI - Shiitake dermatitis
JO - QJM: An International Journal of Medicine
DO - 10.1093/qjmed/hcx173
DA - 2017-12-01
UR - https://www.deepdyve.com/lp/oxford-university-press/shiitake-dermatitis-IEJPpbylfa
SP - 849
VL - 110
IS - 12
DP - DeepDyve
ER -