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Muacevic A, Adler JR, Tan W. Appearance of a "Whip-Like" Rash in a Young Male Undergoing Therapy for Testicular Embryonal Carcinoma. Cureus 2022; 14:e33065. [PMID: 36721590 PMCID: PMC9883062 DOI: 10.7759/cureus.33065] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 12/28/2022] [Indexed: 12/29/2022] Open
Abstract
Bleomycin, a cytotoxic antibiotic commonly used as part of combination chemotherapy regimes in the treatment of germ cell tumors, is well known among clinicians for its potential pulmonary toxicity. Less well known, although postulated to occur through a similar pathomechanism, are the wide spectrum of dermatologic adverse reactions associated with bleomycin therapy. The current case report describes the sudden and distressing appearance of a pruritic erythematous flagellate "whip-like" rash in a 30-year-old Caucasian male undergoing treatment for testicular embryonal carcinoma following the second infusion of bleomycin-containing chemotherapy. Diagnosed as bleomycin-induced flagellate dermatitis, the case describes the dermatologic sequela and therapeutic interventions utilized. While commonly used in testicular cancer, decreasing use of bleomycin-containing chemotherapy regimens has made the appearance of this increasingly rare, yet important and distressing, toxic adverse reaction a diagnostic challenge. Given that patients may present acutely to primary care providers, dermatologists, and nurse practitioners, awareness of this rare adverse reaction is important in order to alleviate patient anxiety, initiate appropriate therapy, set expectations of expected dermal sequela, and initiate an informed collaborative discussion regarding the continuation versus cessation of bleomycin-containing therapy.
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Gomez J, Sharma K, Huho A, Gregory N. A case of shiitake dermatitis in the United States. Oxf Med Case Reports 2021; 2021:omab071. [PMID: 34408892 PMCID: PMC8366069 DOI: 10.1093/omcr/omab071] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2021] [Revised: 06/29/2021] [Accepted: 07/06/2021] [Indexed: 02/05/2023] Open
Abstract
A 65-year-old male presented to our dermatology clinic with a two-day intensely pruritic rash covering his back. The lesions were predominantly on his chest, upper extremity, and back. He denied any prior history of similar rashes and his past medical history was non-contributory. A detailed exposure history revealed the patient had eaten Shiitake mushrooms for dinner 48 hours previously. Physical examination showed a truncal dominant rash. Close-up examination confirmed the papulovesicular nature of the rash with multiple small vesicles grouped both along the breadth and length of each linear streak on an erythematous background. Biopsies showed spongiosis with micro-vesiculation. Blood work showed a nominal CBC and CRP/ESR and serum IgE. The patient was put on topical steroid and the rash resolved in one week. With increasing mushroom consumption [1], cognizance of this etiology avoids a diagnostic ‘odyssey’ and prevents recurrence of this very characteristic rash.
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Affiliation(s)
- Jesus Gomez
- Upstate Dermatology; Clinical and MOH's services, 1547 Columbia Turnpike, Castleton on Hudson, NY 12033, USA
| | - Krishna Sharma
- Georgetown University, Class of 2024, 3700 O St NW, Washington, DC 20057, USA
| | - Albert Huho
- Upstate Dermatology; Clinical and MOH's services, 1547 Columbia Turnpike, Castleton on Hudson, NY 12033, USA
| | - Neal Gregory
- Upstate Dermatology; Clinical and MOH's services, 1547 Columbia Turnpike, Castleton on Hudson, NY 12033, USA
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3
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Maruthappu T, Hader Z. A characteristic rash caused by Shiitake mushrooms - An emerging concern? Clin Case Rep 2021; 9:e04181. [PMID: 34194772 PMCID: PMC8222744 DOI: 10.1002/ccr3.4181] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/20/2021] [Revised: 03/08/2021] [Accepted: 04/06/2021] [Indexed: 11/24/2022] Open
Abstract
Shiitake mushroom dermatitis is a striking rash that can present as an emergency. Despite the dramatic appearance, the rash is an idiosyncratic reaction which resolves spontaneously and does not progress to anaphylaxis.
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Affiliation(s)
- Thiviyani Maruthappu
- Department of DermatologyRoyal London HospitalBarts Health NHS Trust LondonLondonUK
- Queen MaryUniversity of LondonLondonUK
| | - Zahra Hader
- Department of DermatologyQueen Elizabeth HospitalBirminghamUK
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4
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Alkhowailed MS, Otayf M, Albasseet A, Almousa A, Alajlan Z, Altalhab S. Clinical Approach to Linear Hyperpigmentation: A Review Article. Clin Cosmet Investig Dermatol 2021; 14:23-35. [PMID: 33447068 PMCID: PMC7802900 DOI: 10.2147/ccid.s280819] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2020] [Accepted: 11/24/2020] [Indexed: 12/18/2022]
Abstract
Linear hyperpigmentation is an unusual anatomical configuration in clinical dermatology. Owing to its rarity, consensus on the most effective method of classification is lacking. While linear hyperpigmentation generally follows Blaschko's lines, this is not universal. Clinical findings such as adherence to Blaschko's lines, associated morphological findings (including other cutaneous lesions), and systemic manifestations can be used to further characterize and diagnose variants of the disorder. Early detection of any underlying disease is vital, especially in cases with effective management, because the disorder may make it difficult to manage hyperpigmentation. Herein, we introduce a logical clinical diagnostic approach that represents a useful tool for dermatologists to efficiently evaluate patients presenting with linear hyperpigmentation. A simplified systematic and evidence-based approach is useful for this clinical condition owing to the heterogeneous causes and lack of specific diagnostic tools.
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Affiliation(s)
- Mohammad S Alkhowailed
- Department of Dermatology, College of Medicine, Qassim University, Buraydah, Qassim, Saudi Arabia
| | - Mojahed Otayf
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | | | | | - Ziyad Alajlan
- College of Medicine, King Saud University, Riyadh, Saudi Arabia
| | - Saad Altalhab
- Department of Dermatology, College of Medicine, Al-Imam Mohammad Ibn Saud Islamic University, Riyadh, Saudi Arabia
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5
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Moyano EG, Pilar LM. Flagellate dermatitis secondary to intake shiitake mushrooms. Aten Primaria 2019; 53:102-103. [PMID: 31864756 PMCID: PMC7752961 DOI: 10.1016/j.aprim.2019.09.008] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/18/2019] [Accepted: 09/22/2019] [Indexed: 11/26/2022] Open
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6
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Heer RS, Patel NB, Mandal AKJ, Lewis F, Missouris CG. Not a fungi to be with: Shiitake mushroom flagellate dermatitis. Am J Emerg Med 2019; 38:412.e1-412.e2. [PMID: 31864870 DOI: 10.1016/j.ajem.2019.09.010] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2019] [Accepted: 09/24/2019] [Indexed: 10/25/2022] Open
Abstract
Shiitake dermatitis is a rare adverse cutaneous reaction to the ingestion of raw or undercooked shiitake mushrooms (Lentinula edodes). We report the case of a patient who developed a striking linear flagellate dermatitis without urticaria three days after returning from a trip from Tokyo where he had eaten shiitake mushrooms. The rash resolved after two weeks with topical corticosteroids and antihistamines given for symptomatic relief. Shiitake dermatitis is thought to be either a toxic or hypersensitivity reaction to lentinan, a heat-inactivated polysaccharide found in the cell walls of shiitake mushrooms. Although this mushroom is widely consumed in Eastern Asia, with the increasing globalisation of cuisine and travel, cases are likely to become more common in the Western world.
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Abstract
Flagellate erythema is a distinctive eruption characterized by "whip-like" linear or curvilinear streaks and plaques, occurring mainly on the trunk. It has classically been described in 2 disparate clinical settings: chemotherapy with bleomycin and ingestion of mushrooms (most commonly Shiitake mushrooms). Most of the literature comprises single case reports, often with minimal histological description of rather nonspecific features. We describe in detail the histological features of 3 cases of flagellate erythema (2 related to bleomycin therapy and one related to ingestion of mushrooms) and review the findings described in the literature to define the spectrum of histological changes encountered in this eruption. Our 3 cases showed mild epidermal changes, with spongiosis and variable interface inflammation. All 3 showed a relatively prominent dermal lymphohistiocytic infiltrate, with features suggestive of a lymphocytic vasculopathy extending to at least the mid-reticular dermis. Eosinophils were a prominent component of the inflammatory infiltrate in 2 cases. Our review of the literature identified a total of 45 publications, representing reports of 46 patients, containing histological information. As well as bleomycin- and mushroom-related cases, similar eruptions have been reported in the context of connective tissue disease and other drugs. Although cases related to connective tissue disease show features of the underlying condition, cases secondary to drugs or mushrooms predominantly show features compatible with common patterns of exanthematous/morbilliform drug reaction. In particular, subtle spongiosis and/or interface dermatitis combined with a dermal lymphocytic infiltrate that includes increased numbers of eosinophils is a common finding. Features of a lymphocytic vasculopathy may be seen in a subset of these cases.
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8
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Forward E, Chee SN, Smith SD. A case of shiitake mushroom dermatitis. Australas J Dermatol 2018; 59:337-338. [PMID: 29479775 DOI: 10.1111/ajd.12791] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Emily Forward
- Department of Dermatology, Royal North Shore Hospital, Sydney, New South Wales, Australia.,Northern Clinical School, University of Sydney, Sydney, New South Wales, Australia
| | - Shien-Ning Chee
- Department of Dermatology, Royal North Shore Hospital, Sydney, New South Wales, Australia
| | - Saxon D Smith
- Department of Dermatology, Royal North Shore Hospital, Sydney, New South Wales, Australia.,Northern Clinical School, University of Sydney, Sydney, New South Wales, Australia.,The Dermatology and Skin Cancer Centre, Sydney, New South Wales, Australia
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9
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Nguyen AH, Gonzaga MI, Lim VM, Adler MJ, Mitkov MV, Cappel MA. Clinical features of shiitake dermatitis: a systematic review. Int J Dermatol 2017; 56:610-616. [DOI: 10.1111/ijd.13433] [Citation(s) in RCA: 22] [Impact Index Per Article: 3.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/03/2016] [Revised: 06/21/2016] [Accepted: 07/08/2016] [Indexed: 02/06/2023]
Affiliation(s)
| | - Maria I. Gonzaga
- Department of Biology; Frank R. Seaver College of Science and Engineering; Loyola Marymount University; Los Angeles CA USA
| | | | | | - Mario V. Mitkov
- Department of Dermatology; Mayo Clinic Florida; Jacksonville FL USA
| | - Mark A. Cappel
- Department of Dermatology; Mayo Clinic Florida; Jacksonville FL USA
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10
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Stephany MP, Chung S, Handler MZ, Handler NS, Handler GA, Schwartz RA. Shiitake Mushroom Dermatitis: A Review. Am J Clin Dermatol 2016; 17:485-489. [PMID: 27566177 DOI: 10.1007/s40257-016-0212-6] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/24/2022]
Abstract
Shiitake mushroom dermatitis is a cutaneous reaction caused by the consumption of raw or undercooked shiitake mushrooms. Symptoms include linear erythematous eruptions with papules, papulovesicles or plaques, and severe pruritus. It is likely caused by lentinan, a heat-inactivated beta-glucan polysaccharide. Cases were initially reported in Japan but have now been documented in other Asian countries, North America, South America, and Europe, as this mushroom is now cultivated and consumed worldwide. Shiitake mushroom dermatitis may result from mushroom ingestion or from handling, which can result in an allergic contact dermatitis.
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Affiliation(s)
| | - Stella Chung
- Dermatology Department, Rutgers New Jersey Medical School, Newark, NJ, USA
| | | | | | - Glenn A Handler
- Dermatology Department, Rutgers New Jersey Medical School, Newark, NJ, USA
| | - Robert A Schwartz
- Dermatology Department, Rutgers New Jersey Medical School, Newark, NJ, USA
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11
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McNally A, Ross C, Wayte J. Shiitake dermatitis: the tale of an under-recognised, undercooked fungus. Med J Aust 2016; 204:124-6.e1. [PMID: 26866554 DOI: 10.5694/mja15.00963] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/24/2015] [Accepted: 12/10/2015] [Indexed: 11/17/2022]
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12
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Netchiporouk E, Pehr K, Ben-Shoshan M, Billick RC, Sasseville D, Singer M. Pustular flagellate dermatitis after consumption of shiitake mushrooms. JAAD Case Rep 2016; 1:117-9. [PMID: 27051703 PMCID: PMC4808700 DOI: 10.1016/j.jdcr.2015.02.010] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Affiliation(s)
| | - Kevin Pehr
- Department of Dermatology, McGill University, Montreal, Quebec, Canada
| | - Moshe Ben-Shoshan
- Department of Allergy and Immunology, McGill University, Montreal, Quebec, Canada
| | - Robin C Billick
- Department of Dermatology, McGill University, Montreal, Quebec, Canada
| | - Denis Sasseville
- Department of Dermatology, McGill University, Montreal, Quebec, Canada
| | - Michael Singer
- Department of Dermatology, McGill University, Montreal, Quebec, Canada
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Molin S, Summer B, Thomas P, Letulé V, Ruzicka T, Ruëff F, Herzinger T. Boletus dermatitis: a new variant of flagellate erythema. Ann Allergy Asthma Immunol 2015. [PMID: 26195440 DOI: 10.1016/j.anai.2015.06.028] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/06/2023]
Affiliation(s)
- Sonja Molin
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany
| | - Burkhard Summer
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany
| | - Peter Thomas
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany
| | - Valerie Letulé
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany
| | - Thomas Ruzicka
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany
| | - Franziska Ruëff
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany
| | - Thomas Herzinger
- Department of Dermatology and Allergy, Ludwig Maximilian University, Munich, Germany.
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14
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Tan Q, Tan C. Log-grown shiitake is perhaps the real cause for Shiitake dermatitis. J Eur Acad Dermatol Venereol 2014; 30:197-8. [PMID: 25208952 DOI: 10.1111/jdv.12712] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/01/2022]
Affiliation(s)
- Q. Tan
- Department of Dermatology; Affiliated The First Clinical Hospital; Nanjing University of Chinese Medicine; Nanjing China
| | - C. Tan
- Department of Dermatology; Affiliated The First Clinical Hospital; Nanjing University of Chinese Medicine; Nanjing China
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15
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Boels D, Landreau A, Bruneau C, Garnier R, Pulce C, Labadie M, de Haro L, Harry P. Shiitake dermatitis recorded by French Poison Control Centers - new case series with clinical observations. Clin Toxicol (Phila) 2014; 52:625-8. [PMID: 24940644 DOI: 10.3109/15563650.2014.923905] [Citation(s) in RCA: 29] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/10/2023]
Abstract
CONTEXT Shiitake (Lentinula edodes) is an edible mushroom which was initially grown in Japan and China and is now sold on the European market. Flagellate erythema may arise following shiitake consumption and was first described in Japan in 1974. OBJECTIVE This paper reports a French shiitake dermatitis case series. METHODS The findings of retrospective study of shiitake dermatitis cases, reported to French Poison Control Centres (PCC) from January 2000 to December 2013, are reported. RESULTS Among 32 exposed patients, 15 presented flagellate urticarial lesions after raw shiitake consumption. The first case of this series was reported in 2006 and the last nine cases were reported as of 2012. After shared meals, no symptoms were reported among guests, who preferred cooked shiitake to the raw mushroom. In this series, rashes appeared 12 h to 5 days (median: 24 h) after raw shiitake ingestion. Linear and itchy urticarial lesions formed on the trunk, arms, and legs within a few hours and persisted for 3-21 days. In four cases, rash and pruritus were either triggered or worsened by sun exposure. Eleven patients received corticosteroids, antihistamines, or both. All patients completely recovered. CONCLUSION Due to the rapidly increasing consumption of exotic food in Western countries, it is no surprise that cases of shiitake dermatitis are now appearing in Europe. The mechanism of shiitake dermatitis is thought to be toxic and due to lentinan, a polysaccharide component of the mushroom. There is no specific validated treatment for shiitake dermatitis. Health professionals and the general population should be aware of both the risk associated with raw shiitake consumption and of the good prognosis of this very spectacular and uncomfortable toxic dermatitis.
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Affiliation(s)
- D Boels
- Centre Antipoison - Toxicovigilance, CHU Angers , Angers Cedex 9 , France
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Flagellate dermatitis after consumption of Shiitake mushrooms. Postepy Dermatol Alergol 2014; 31:187-90. [PMID: 25097492 PMCID: PMC4112260 DOI: 10.5114/pdia.2014.40929] [Citation(s) in RCA: 11] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/28/2013] [Revised: 09/06/2013] [Accepted: 09/10/2013] [Indexed: 11/21/2022] Open
Abstract
Flagellate dermatitis occurs in patients who have eaten Shiitake mushrooms. We are reporting on a 55-year-old man, who developed whiplash-striped, severely itching efflorescences on the trunk 3 days after eating Lentinula edodes. Flagellate dermatitis is also known as a cutaneous side effect of bleomycin therapy.
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17
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Poppe LM, Anders D, Kneitz H, Bröcker EB, Benoit S. Flagellate dermatitis caused by shiitake mushrooms. An Bras Dermatol 2013; 87:463-5. [PMID: 22714764 DOI: 10.1590/s0365-05962012000300017] [Citation(s) in RCA: 15] [Impact Index Per Article: 1.4] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/07/2011] [Accepted: 07/25/2011] [Indexed: 11/22/2022] Open
Abstract
Shiitake (Lentinus edodes) is the second most consumed mushroom in the world. It has long been known in Asian medicine for its anticarcinogenic, antihypertensive and serum cholesterol level reduction properties. Nevertheless, the consumption of raw or not well-cooked mushrooms may cause skin eruptions which usually occur 24 to 48 hours after ingestion and are characterized by linearly arranged pruritic erythematous papules and plaques. We present a 36-year-old patient that developed typical symptoms 24 hours after consumption of shiitake mushrooms and summarize therapeutic options and particularities of this disease.
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19
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Loo HV, Oon HH. Flagellate dermatitis following consumption of shiitake mushroom. Dermatol Reports 2011; 3:e21. [PMID: 25386273 PMCID: PMC4211525 DOI: 10.4081/dr.2011.e21] [Citation(s) in RCA: 10] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/23/2011] [Accepted: 08/10/2011] [Indexed: 12/30/2022] Open
Abstract
Japanese dermatologists were the first to describe the very characteristic flagellate dermatitis following consumption of undercooked or raw shiitake mushroom (Lentinus edodes). These similar eruptions were also reported in patients treated with bleomycin, in dermatomyositis and adult onset Still's disease. We report a case where a 40 year old chinese female developed flagellate dermatitis following ingestion of a bun containing shiitake mushroom.
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20
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Scheiba N, Andrulis M, Helmbold P. Treatment of shiitake dermatitis by balneo PUVA therapy. J Am Acad Dermatol 2011; 65:453-455. [DOI: 10.1016/j.jaad.2010.03.026] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/21/2010] [Revised: 03/23/2010] [Accepted: 03/28/2010] [Indexed: 10/18/2022]
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Ziemer M, Goetze S, Juhasz K, Elsner P. Flagellate dermatitis as a bleomycin-specific adverse effect of cytostatic therapy: a clinical-histopathologic correlation. Am J Clin Dermatol 2011; 12:68-76. [PMID: 21067249 DOI: 10.2165/11537080-000000000-00000] [Citation(s) in RCA: 28] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/02/2022]
Abstract
In oncology, bleomycin is a frequently used drug for the treatment of several malignancies. In particular, it is part of chemotherapy protocols in testicular cancer. We report on two patients with testicular cancer who received bleomycin-including chemotherapy and developed flagellate dermatitis. This is a typical adverse effect of bleomycin therapy; however, its pathophysiology has not yet been clarified. We discuss possible pathophysiologic mechanisms for this reaction. In general, it has been postulated that histopathologic findings in flagellate dermatitis share similarities with those observed in fixed drug eruptions. In fact, published cases in the literature have shown a broad variety of histologic changes and the histopathologic investigation of our two patients was not indicative of fixed drug eruption-like changes. Histology of one patient showed a superficial and deep, perivascular and periadnexal infiltrate of lymphocytes and eosinophils with a prominent perisudoral distribution, whereas the other patient was remarkable only for the presence of a rather sparse, superficial, perivascular lymphocytic infiltrate with occasional eosinophils and a few melanophages. Epidermal changes, in particular necrotic keratinocytes, were not present in either patient. We provide an overview of all reported histologic changes in bleomycin-induced flagellate dermatitis, including our experience with two patients. Based on these data, we present a summary of the clinical and histologic features.
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Affiliation(s)
- Mirjana Ziemer
- Department of Dermatology, Venerology and Allergology, University of Leipzig, Germany.
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22
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Scientific Opinion on the safety of ”Lentinus edodesextract” (Lentinex®) as a Novel Food ingredient. EFSA J 2010. [DOI: 10.2903/j.efsa.2010.1685] [Citation(s) in RCA: 8] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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23
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La shiitake dermatitis (dermatose toxique au lentin) est arrivée en France. Ann Dermatol Venereol 2010; 137:290-3. [DOI: 10.1016/j.annder.2010.02.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/06/2009] [Accepted: 02/18/2010] [Indexed: 11/18/2022]
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24
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Kopp T, Mastan P, Mothes N, Tzaneva S, Stingl G, Tanew A. Systemic allergic contact dermatitis due to consumption of raw shiitake mushroom. Clin Exp Dermatol 2009; 34:e910-3. [DOI: 10.1111/j.1365-2230.2009.03681.x] [Citation(s) in RCA: 26] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
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25
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26
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Kluger N, Bessis D. [Linear streaks on the back during dermatomyositis]. Rev Med Interne 2007; 29:581-2. [PMID: 18063229 DOI: 10.1016/j.revmed.2007.10.404] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/26/2007] [Accepted: 10/08/2007] [Indexed: 11/27/2022]
Affiliation(s)
- N Kluger
- Service de dermatologie, hôpital Saint-Eloi, CHU de Montpellier, université Montpellier-I, 80, avenue Augustin-Fliche, 34295 Montpellier cedex 5, France.
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27
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Affiliation(s)
- J K Soo
- St George's Hospital, Blackshaw Road, Wandsworth, London, UK.
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28
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30
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Abstract
A 44-year-old woman with occupational allergic contact dermatitis to Shiitake mushroom (Lentinus edodes), sawdust and thiuram. She presented with an 8-month history of hand and face dermatitis that developed after working for 2.5 years in a mushroom farm. Within 3 months of ceasing work at the farm, her symptoms resolved completely.
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Affiliation(s)
- Paul Curnow
- Skin and Cancer Foundation, Melbourne, Victoria, Australia.
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