Shiitake mal cozido e dermatite flagelada
Undercooked shiitake mushrooms and flagellate dermatitis
Gilmayara Alves Abreu Maciel Pereira; Leticia Arsie Contin; Leandro Fonseca Noriega; Marina Lino Vieira; Alexandre Ozores Michalany; Diego Leonardo Bet
Resumo
O termo dermatite flagelada refere-se a lesões apresentadas na pele, caracterizadas por pápulas eritematosas lineares, com aspecto de "chicotada". Shiitake é um cogumelo comestível que, quando ingerido cru ou mal cozido, pode induzir lesões lineares pruriginosas, podendo estar associadas a sintomas sistêmicos. Relatamos um caso com manifestações clínicas características e exame anatomopatológico que sugeriu eritema multiforme. A história clínica e exame físico foram fundamentais para a diferenciação das duas entidades.
Palavras-chave
Abstract
The term flagellate dermatitis refers to skin lesions characterized by linear erythematous papules with a whiplash-like pattern. Shiitake is an edible mushroom that, when eaten raw or undercooked, may induce a pruritic rash associated with systemic symptoms. We report a case with typical clinical manifestations in which the pathological examination suggested erythema multiforme. Clinical history and physical examination were essential to differentiate between the two entities.
Keywords
References
1. Mendonça CN, Silva PM, Avelleira JC, Nishimori FS, Cassia F de F. Shiitake dermatitis. An Bras Dermatol. 2015;90:276-8.
2. Dantizg PI. Immunosupressive and cytotoxic drugs in dermatology. Arch Dermatol. 1974;110:393-406.
3. Czarnecka AB, Kreft B, Marsch WCh. Flagellate dermatitis after consumption of Shiitake mushrooms. Postepy Dermatol Alergol. 2014;31:187-90.
4. Nakamura T. Shiitake (Lentinusedodes) dermatitis. Contact Dermatitis. 1992;27:65-70.
5. Ade R, Sukut C, Wiser HJ, Shockman S, Buescher L. Shiitake dermatitis demonstrating Köebner phenomenon. Int J Dermatol. 2015;54:e179‑81.
6. Adriano AR, Acosta ML, Azulay DR, Quiroz CD, Talarico SR. Shiitake dermatitis: the first case reported in Brazil. An Bras Dermatol. 2013;88:417-9.
7. Lippert U, Martin V, Schwertfeger C, Junghans V, Ellinghaus B, Fuchs T. Shiitake dermatitis. Br J Dermatol. 2003;148:178-9.
8. Scheiba N, Andrulis M, Helmbold P. Treatment of shiitake dermatitis by balneo PUVA therapy. J Am Acad Dermatol. 2011;65:453-5.
9. Wagner G, Sachse MM. [Linear grouped erythema and papule sontheupper trunk and décolleté. Shiitake dermatitis]. J Dtsch Dermatol Ges. 2011;9:555-7.
10. Boels D, Landreau A, Bruneau C, Garnier R, Pulce C, Labadie M, et al. Shiitake dermatitis recorded by French Poison Control Centers - new case series with clinical observations. Clin Toxicol (Phila). 2014;52:625-8.
11. Wang AS, Barr KL, Jagdeo J. Shiitake mushroom-induced flagellate erythema: a striking case and review of the literature. Dermatol Online J. 2013;19(4):5.
Submitted date:
03/24/2016
Accepted date:
12/05/2016
