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Flagellate dermatitis caused by the intake of shiitake mushrooms. A case report and review of the literature.

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Title: Flagellate dermatitis caused by the intake of shiitake mushrooms. A case report and review of the literature.
Alternate Title: Dermatitis flagelada por setas shiitake. Reporte de un caso y revisión de la literatura.
Authors: Rojas-Mejía, Dolly Vanessa1, Serrano, Carlos1 cdserranoreyes@gmail.com
Source: Revista Alergia de Mexico. Jan-Mar2020, Vol. 67 Issue 1, p79-82. 4p.
Abstract (English): Background: Flagellate dermatitis caused by the intake of shiitake mushrooms is characterized by linear erythematous lesions that are intensely pruritic. It is common in countries where the consumption of mushrooms is high, but it is rare in Latin America. It can be difficult to diagnose as there is a delay between the intake of the mushroom and the eruption. Case report: A 49-year-old Caucasian woman with a history of hypothyroidism who, 48 hours after the intake of shiitake mushrooms, developed intense itching associated with the appearance of linear and erythematous lesions, in a "flagellate-like" pattern, predominantly on the trunk, without other signs or symptoms. There was no history of recent exposure to drugs. She was treated with oral antihistamine and topical corticosteroid, however, without improvement, which is why a short cycle of oral corticosteroid was required, with which her lesions were resolved. A shiitake-free diet was indicated. Conclusions: Flagellate dermatitis is a toxicoderma that is associated with the intake of shiitake mushrooms among other things. Its clinical presentation is characteristic, although its exact pathophysiology is not fully understood. The boom of Asian food in Latin America might lead to an increase in the number of cases; hence the importance of knowing about its existence. [ABSTRACT FROM AUTHOR]
Abstract (Spanish): Antecedentes: La dermatitis flagelada por setas shiitake se caracteriza por lesiones eritematosas lineales muy pruriginosas. Es común en países con alto consumo de hongos, pero poco frecuente en Latinoamérica. Puede ser difícil de diagnosticar debido al retraso en la aparición de las erupciones después de la ingesta del hongo. Caso clínico: Mujer caucásica de 49 años, con antecedente de hipotiroidismo, quien 48 horas después de la ingesta de setas shiitake desarrolló prurito intenso asociado a lesiones lineales, eritematosas, con patrón de flagelación, predominantes en tronco, sin otros signos ni síntomas. No había historia de exposición reciente a medicamentos. Recibió antihistamínico oral y corticoide tópico sin mejoría, por lo que requirió ciclo corto de corticoide oral, con el cual se resolvieron las lesiones. Se le indicó evitar el consumo del hongo en la dieta. Conclusiones: La dermatitis flagelada constituye una toxicodermia asociada, entre otras cosas, al consumo de setas shiitake. Su presentación clínica es característica, aunque su fisiopatología no está completamente entendida. El auge de la comida oriental en Latinoamérica podría incrementar el número de casos, de ahí la importancia de conocer esta toxicodermia. [ABSTRACT FROM AUTHOR]
Copyright of Revista Alergia de Mexico is the property of Coleg. Mexicano de Inmunologia Clinica y Alergia A.C.; Soc. Lat. de Alergia, Asma e Inmunologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Flagellate dermatitis caused by the intake of shiitake mushrooms. A case report and review of the literature.
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  Data: Dermatitis flagelada por setas shiitake. Reporte de un caso y revisión de la literatura.
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  Data: <searchLink fieldCode="AR" term="%22Rojas-Mejía%2C+Dolly+Vanessa%22">Rojas-Mejía, Dolly Vanessa</searchLink><relatesTo>1</relatesTo><br /><searchLink fieldCode="AR" term="%22Serrano%2C+Carlos%22">Serrano, Carlos</searchLink><relatesTo>1</relatesTo><i> cdserranoreyes@gmail.com</i>
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  Data: <searchLink fieldCode="JN" term="%22Revista+Alergia+de+Mexico%22">Revista Alergia de Mexico</searchLink>. Jan-Mar2020, Vol. 67 Issue 1, p79-82. 4p.
– Name: Abstract
  Label: Abstract (English)
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  Data: Background: Flagellate dermatitis caused by the intake of shiitake mushrooms is characterized by linear erythematous lesions that are intensely pruritic. It is common in countries where the consumption of mushrooms is high, but it is rare in Latin America. It can be difficult to diagnose as there is a delay between the intake of the mushroom and the eruption. Case report: A 49-year-old Caucasian woman with a history of hypothyroidism who, 48 hours after the intake of shiitake mushrooms, developed intense itching associated with the appearance of linear and erythematous lesions, in a "flagellate-like" pattern, predominantly on the trunk, without other signs or symptoms. There was no history of recent exposure to drugs. She was treated with oral antihistamine and topical corticosteroid, however, without improvement, which is why a short cycle of oral corticosteroid was required, with which her lesions were resolved. A shiitake-free diet was indicated. Conclusions: Flagellate dermatitis is a toxicoderma that is associated with the intake of shiitake mushrooms among other things. Its clinical presentation is characteristic, although its exact pathophysiology is not fully understood. The boom of Asian food in Latin America might lead to an increase in the number of cases; hence the importance of knowing about its existence. [ABSTRACT FROM AUTHOR]
– Name: Abstract
  Label: Abstract (Spanish)
  Group: Ab
  Data: Antecedentes: La dermatitis flagelada por setas shiitake se caracteriza por lesiones eritematosas lineales muy pruriginosas. Es común en países con alto consumo de hongos, pero poco frecuente en Latinoamérica. Puede ser difícil de diagnosticar debido al retraso en la aparición de las erupciones después de la ingesta del hongo. Caso clínico: Mujer caucásica de 49 años, con antecedente de hipotiroidismo, quien 48 horas después de la ingesta de setas shiitake desarrolló prurito intenso asociado a lesiones lineales, eritematosas, con patrón de flagelación, predominantes en tronco, sin otros signos ni síntomas. No había historia de exposición reciente a medicamentos. Recibió antihistamínico oral y corticoide tópico sin mejoría, por lo que requirió ciclo corto de corticoide oral, con el cual se resolvieron las lesiones. Se le indicó evitar el consumo del hongo en la dieta. Conclusiones: La dermatitis flagelada constituye una toxicodermia asociada, entre otras cosas, al consumo de setas shiitake. Su presentación clínica es característica, aunque su fisiopatología no está completamente entendida. El auge de la comida oriental en Latinoamérica podría incrementar el número de casos, de ahí la importancia de conocer esta toxicodermia. [ABSTRACT FROM AUTHOR]
– Name: AbstractSuppliedCopyright
  Label:
  Group: Ab
  Data: <i>Copyright of Revista Alergia de Mexico is the property of Coleg. Mexicano de Inmunologia Clinica y Alergia A.C.; Soc. Lat. de Alergia, Asma e Inmunologia and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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