Shiitake mushrooms are increasingly being consumed in the West because of their possible health benefits and changing dietarypreferences. A rare but increasingly occurring undesired effect caused by the thermolabile polysaccharide lentinan in the Shiitakemushroom is the incidence of a particular toxic dermatitis called flagellate dermatitis or Shiitake dermatitis. This dermatitis isextremely pruritous, heals without scarring in one to eight weeks and the effect of treatment is doubtful. The pathogenesis has notbeen completely explained and it is unclear why some people react more than others. We here present what we believe to be thefirst pediatric case of Shiitake dermatitis in a 5-year-old boy.
SummarySixteen (44%) of 36 normal children were observed to have faint lung uptake during liver-spleen scanning with 99mTc sulfur colloid from a commercially available kit. Visible radioactivity in the lungs of children during liver-spleen scanning should not be considered an abnormal finding.
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