Shiitake dermatitis: the first case reported in Brazil

Adriano, André Ricardo; Acosta, Martha Liliana; Azulay, David Rubem; Quiroz, Carlos Daniel; Talarico, Samantha Rodrigues

doi:10.1590/abd1806-4841.20131849

Cited by 18 publications

(12 citation statements)

References 7 publications

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“…Conversely, the fact that this rash usually occurs after the ingestion of large amounts of raw mushroom and not after limited exposures suggests that there may be a dose‐dependent effect, which is consistent with a toxic mechanism . However, we favor a hypersensitivity reaction and postulate that genetically susceptible individuals with certain human leukocyte antigen (HLA) alleles require exposure to large amounts of lentinan in order to be sensitized.…”

Section: Discussionmentioning

confidence: 76%

“…). Twenty‐nine articles were included, comprising a total of 50 cases of patients with shiitake dermatitis . Articles consisted of case reports (24 patients) and case series (26 patients).…”

Section: Resultsmentioning

confidence: 99%

“…Shiitake dermatitis occurs in a unique clinical setting in which presumably genetically susceptible individuals are exposed to large amounts of uncooked or undercooked mushrooms: a total of 36 of the eruptions included in our review material occurred in this setting . This introduces the concept that inadequate cooking is a possible determinant of the occurrence of shiitake dermatitis.…”

Section: Discussionmentioning

confidence: 99%

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Clinical features of shiitake dermatitis: a systematic review

et al. 2017

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Shiitake dermatitis is a rare cutaneous reaction to lentinan, a polysaccharide component in the cell walls of shiitake mushrooms (Lentinula edodes). Herein, we systematically review the case report and case series English-language literature on shiitake dermatitis, which refers to a total of 50 patients (38 males, 12 females; mean age: 44.58 years). The majority of cases occurred after the consumption of raw mushrooms, whereas 22% of cases were caused by the eating of lightly or undercooked mushrooms. The most common clinical presentations, localized symptoms, and systemic findings include linear flagellated dermatitis (98%), pruritus (78%), and fever, diarrhea, and mucosal ulcers, respectively. The diagnosis of this entity continues to be based on clinical findings as laboratory abnormalities, and the findings of skin biopsies and patch/prick tests are nonspecific and inconsistent. The condition is self-limiting, resolving in approximately 12.5 d without treatment. Based on the included case reports, it appears that medical treatment may slightly shorten the course of disease (to 9-11 d, varying by therapy) but should be considered on an individual patient basis. However, the treatment of symptoms, reassurance, and the avoidance of re-exposure are sufficient treatment recommendations for this condition.

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Section: Discussionmentioning

confidence: 76%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Clinical features of shiitake dermatitis: a systematic review

et al. 2017

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“…Flagellate erythema, a peculiar cutaneous adverse effect of bleomycin or its derivative peplomycin, occurs in 8-20% patients during systemic or local therapy (1). It characterised by a linear erythematous streak with hyperpigmentation (2, 3), and was first described by Moulin in 1970 (4). Herein, we present a typical case of flagellate erythema induced by Bleomycin.…”

mentioning

confidence: 86%

Bleomycin-Induced Flagellate Erythema

Lu¹,

Lü²,

Wang³

et al. 2014

Balkan Med J

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“…[2728] A complete reversal of these lesions takes place in about 2 weeks. [29] The symptoms could be treated with antihistaminic drugs, topical corticosteroids and in severe cases, and oral corticosteroids for a short time.…”

Section: Introductionmentioning

confidence: 99%

The unexplored anticaries potential of shiitake mushroom

J¹,

Vinay²,

Jha³

et al. 2016

Phcog Rev

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Keeping an eye the escalating costs of dental services, the treatment cost of the consequences of dental caries can be reduced to manageable proportions by preventive measures aimed at decreasing the prevalence. One such measure is by increasing the consumption of caries preventive foods. Recently, there has been an upsurge of interest in mushrooms not only as a healthy food but also as a caries preventive food. The most common type of mushroom, Lentinula edodes also called as shiitake, is studied in-depth for its oral health benefits. The cultivation of shiitake dates way back to 1100 A.D. during the rule of Sung dynasty which is replaced by more modern and efficient sawdust substrate log cultures lately. Shiitake mushroom extract can be isolated in various forms such as freeze dried, oil, and ethyl acetate extracts. Various biologically active compounds such as erythritol, copalic acid, adenosine, carvacrol, and many more are responsible for this mushroom's antimicrobial activity. Anticariogenicity can be attributed to the induction of the detachment of cariogenic microorganisms from hydroxyapatite, changes in cell surface hydrophobicity, bactericidal activity, and disruption of signal transduction in Streptococcus mutans as proved through various in vivo and in vitro studies. Apart from these benefits, it has tremendous potential to be used as an antioxidant, anticancer, antigingivitis, antifungal, and antiviral agent. The one and only known adverse reaction due to shiitake mushroom consumption is the eruption of pruritic erythematous papules termed as shiitake dermatitis. This review highlights the unexplored anticaries potential of one such useful bioactive metabolite-shiitake mushroom.

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Shiitake dermatitis: the first case reported in Brazil

Cited by 18 publications

References 7 publications

Clinical features of shiitake dermatitis: a systematic review

Clinical features of shiitake dermatitis: a systematic review

Bleomycin-Induced Flagellate Erythema

The unexplored anticaries potential of shiitake mushroom

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