A case of shiitake dermatitis in the United States

Author:

Gomez Jesus1,Sharma Krishna2,Huho Albert1,Gregory Neal1

Affiliation:

1. Upstate Dermatology; Clinical and MOH’s services, 1547 Columbia Turnpike, Castleton on Hudson, NY 12033, USA

2. Georgetown University, Class of 2024, 3700 O St NW, Washington, DC 20057, USA

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Cell Biology,Developmental Biology,Embryology,Anatomy

Reference7 articles.

1. Mushroom Market Size, Share & Trends Analysis Report and Segment Forecasts, 2021 – 2028;GRAND VIEW RESEARCH

2. Flagellate erythema: from diet, drugs to dermatomyositis;Zhao;Med J Aust,2020

3. Shiitake (Lentinus edodes) dermatitis;Nakamura;Contact Dermatitis.,1992

4. Shiitake dermatitis: the first case reported in Brazil;Adriano;An Bras Dermatol.,2013

5. Flagellate mushroom (Shiitake) dermatitis and photosensitivity;Hanada;Dermatology,1998

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