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Flagellate dermatitis after consumption of Shiitake mushrooms

Agnieszka B Czarnecka1, Burkhard Kreft1, Wolfgang Ch Marsch1

  • 1Universitätsklink für Dermatologie und Venerologie, Martin-Luther Universität Halle-Wittenberg, Halle, Germany. Head of Clinic: Prof. Wolfgang C. Marsch MD, PhD.

Postepy Dermatologii I Alergologii
|August 7, 2014
PubMed

Insights

Flagellate dermatitis, a skin condition, can occur after eating Shiitake mushrooms. This case report details a patient who developed a severe rash following consumption of Lentinula edodes.

Area of Science:

  • Dermatology
  • Toxicology

Background:

  • Flagellate dermatitis is a rare cutaneous reaction.
  • It is characterized by linear or whiplash-striped lesions.
  • This condition is also recognized as a side effect of bleomycin chemotherapy.

Observation:

  • A 55-year-old man presented with a severe, itchy rash on his trunk.
  • The rash appeared three days after consuming Shiitake mushrooms (Lentinula edodes).
  • The lesions exhibited a characteristic whiplash-striped pattern.

Findings:

  • The patient's symptoms are consistent with flagellate dermatitis.
  • The presentation suggests a potential link between Shiitake mushroom ingestion and flagellate dermatitis.
  • This case expands the known triggers for flagellate dermatitis beyond bleomycin.

Implications:

  • Shiitake mushroom consumption should be considered as a potential cause of flagellate dermatitis.
  • Further investigation into the mechanism of Shiitake-induced flagellate dermatitis is warranted.
  • This finding may inform clinical diagnosis and patient counseling regarding mushroom consumption.
Keywords:
Shiitake mushroomsflagellate dermatitislatencytoxicodermawhiplash-like efflorescences

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