Shiitake dermatitis: an impressive case report

Hiernickel, Christian; Metz, Susanne; Elsner, Peter

doi:10.1111/ddg.12597

Cited by 2 publications

(6 citation statements)

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“…However, the complete pathway has not yet been discovered and it is not known why certain individuals are more susceptible than others. [4,12] We have not found any evidence in the literature for any specific genetic predisposition. However, in an article on drug eruptions in general, it is argued that specific Human Leukocyte Antigen (HLA) alleles are known to be associated with various severe reactions to some drugs.…”

Section: Discussioncontrasting

confidence: 53%

“…[3] It is also known as Flagellate dermatitis, a name derived from the medieval Christian "flagellant" movement, in which the members would whip themselves as a penance for sins (from the Latin flagellum: whip). [4] The clinical picture is very characteristic: apart from widespread erythematous small papules, sometimes edema and vesicles occur. Scratching leads to long, flagellate streaks composed of petechiae or papules on the trunk and extremities.…”

Section: Discussionmentioning

confidence: 99%

“…The dermatitis is extremely itchy. [3][4][5][6][7][8][9] The disease is self-limiting and it is doubtful if therapy with antihistaminic medication or topical corticosteroids reduces the duration or the severity of the symptoms. [5] Diagnosis is based on clinical presentation and dietary history of the last few days.…”

Section: Discussionmentioning

confidence: 99%

“…Provocation tests are rarely useful and neither skin biopsy nor blood tests are specific. [3][4][5][6][7][8] Although the first case was described by Nakamura in Japan in 1977, [7] it is still relatively uncommon in the West. The first case report in Europe was published in 1991 [6] and the next one only in 2006.…”

Section: Discussionmentioning

confidence: 99%

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Shiitake dermatitis in a 5-year old boy: First pediatric case report

Johnson

Arits

Vandenplas

2016

CRIM

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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.

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Section: Discussioncontrasting

confidence: 53%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Shiitake dermatitis in a 5-year old boy: First pediatric case report

Johnson

Arits

Vandenplas

2016

CRIM

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“…). 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%

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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Shiitake dermatitis: an impressive case report

Cited by 2 publications

References 5 publications

Shiitake dermatitis in a 5-year old boy: First pediatric case report

Shiitake dermatitis in a 5-year old boy: First pediatric case report

Clinical features of shiitake dermatitis: a systematic review

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