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CASE REPORT
Year : 2020  |  Volume : 24  |  Issue : 1  |  Page : 57-58

Shiitake mushroom-induced flagellate dermatitis: Case report


Department of Dermatology, Tufts Medical Center, Tufts School of Medicine, Boston, MA, USA

Correspondence Address:
Dr. Abdullah Aleisa
Department of Dermatology, Tufts Medical Center, Tufts School of Medicine, 260 Tremont St, 14th Floor, Boston 02116, MA
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdds.jdds_73_19

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Shiitake mushroom (SM)-induced flagellate dermatitis follows the ingestion of undercooked SMs. Pathogenesis is thought to be a delayed-type hypersensitivity reaction to lentinan, a heat-sensitive polysaccharide found in SM. Eruption is self-resolving and lasts from 2 days to 6 weeks. It presents as pruritic, linear, whiplash-like, erythematous plaques on the trunk. Flagellate eruption differential diagnoses include bleomycin-induced dermatitis, dermatomyositis, and adult-onset Still's disease.


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