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VIGNETTES
Shiitake Dermatitis Diagnosed After 16 Years!
Seema Garg, MChB, MRCP;
Sarah E. Cockayne, MChB, FRCP
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Shiitake dermatitis is a condition that commonly occurs in Asian countries and has been recently reported in Europe. We report a case diagnosed after a 16-year history of an intermittent flagellate eruption.
Report of a Case
A 45-year-old European man presented with a 16-year history of an intermittent eruption. He described a pruritic outbreak mainly on his trunk, with an associated strange, warm sensation. The eruption lasted approximately 1 week and was not helped by antihistamines. He denied any obvious precipitants and was taking no medication.
On examination, we found grouped, crisscrossed, linear, wheallike lesions, especially over the central back (Figure 1 and Figure 2). He was not dermatographic, and the eruption was not reproducible.
Figure appears in full text version.
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Figure 1. Linear wheallike lesions over the trunk in a flagellate pattern.
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Figure appears in full text version.
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Figure 2. More extensive flagellate eruption over the back.
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Blood tests revealed eosinophilia during the time . . . [Full Text of this Article]
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AUTHOR INFORMATION
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