Bruhn J N, Soderberg M D
School of Forestry and Wood Products, Michigan Technological University, Houghton 49931.
Mycopathologia. 1991 Sep;115(3):191-5. doi: 10.1007/BF00462225.
The first author is allergic to skin contact with mushrooms of Suillus americanus, S. granulatus, S. grevillei, S. luteus, or S. neoalbidipes. Symptoms develop between one and two days after contact and last for approximately a week, disappearing completely without treatment. Symptoms consist of reddening, swelling, and itching, at the sites of contact with pileus cuticle mucilage of all five species. Pore layer tissues (tested for S. americanus and S. luteus) also produced strong reactions, as did pileus trama (tested for S. luteus). Spores from spore prints (tested for S. americanus and S. luteus) produced no reaction. The reaction can be avoided by wearing gloves when handling allergic species and by washing hands promptly after working with these species. Similar cases, reported from North America, Europe, and Russia, involve Agaricus, Boletus, Lactarius, Paxillus, Ramaria, and Suillus species. Several cases involve allergy to multiple species or genera. Symptom severity varies, presumably with intensity of exposure. In one case, symptoms were renewed following ingestion. Most cases demonstrate delayed allergic contact sensitivity.
第一作者对美洲乳牛肝菌、颗粒乳牛肝菌、格氏乳牛肝菌、黄斑乳牛肝菌或新白柄乳牛肝菌的皮肤接触过敏。症状在接触后1至2天出现，持续约一周，未经治疗可完全消失。症状包括与所有这五个物种的菌盖角质层黏液接触部位出现发红、肿胀和瘙痒。菌管层组织（对美洲乳牛肝菌和黄斑乳牛肝菌进行了测试）也产生了强烈反应，菌髓（对黄斑乳牛肝菌进行了测试）也是如此。孢子印的孢子（对美洲乳牛肝菌和黄斑乳牛肝菌进行了测试）未产生反应。处理过敏物种时戴手套以及接触这些物种后立即洗手可避免这种反应。北美、欧洲和俄罗斯报告的类似病例涉及蘑菇属、牛肝菌属、乳菇属、滑锈伞属、枝瑚菌属和乳牛肝菌属的物种。有几例涉及对多个物种或属过敏。症状严重程度各异，可能与接触强度有关。有一例在摄入后症状复发。大多数病例表现为迟发性过敏性接触敏感性。
