Flagellanten-Dermatitis auf Shiitake-Pilze

Abstract

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Flagellate dermatitis after consumption of Shiitake mushrooms

“…Flagellate dermatitis (Toxicoderma) [2] is a rare, presumedly toxic epidermal damage following consumption of raw or half-cooked Shiitake mushrooms [2, 4]. Characteristically the patients develop parallel, whiplash-like infiltrated erythemas with papulae or papulovesicles, arranged like scratches and associated with severe itching 1–2 days after eating Shiitake mushrooms.…”

“…The localizations are preferentially the trunk, the extremities and the nape of the neck [2, 5]. The clinical pattern gives rise to the name flagellate dermatitis, since the skin changes appear like skin damage caused by whiplashes [3, 4]. The Flagellants (Lat.…”

“…It is known that an allergic reaction in the sense of bronchial asthma, contact dermatitis or allergic alveolitis may occur after contact with Shiitake mushrooms, but prick-to-prick or scratch testing is often negative in Shiitake dermatitis. Whether cofactors, such as medications like ACE-inhibitors or diuretics, or UV-exposure, possibly play an additional role is also under discussion [4, 10]. …”

“…Recent reports show that nearly half of the patients have developed flagellate dermatitis after eating thoroughly-cooked Shiitake mushrooms [4]. …”

Flagellate dermatitis and flagellate erythema: report of 4 cases

“…FD after the consumption of raw or half‐cooked SM was first described in 1977 . Later on, FD was reported after eating thoroughly cooked SM …”