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香菇诱发的鞭毛虫性皮炎：尼泊尔首例报告病例。

Shiitake mushroom-induced flagellate dermatitis: The first case reported in Nepal.

作者信息

Shrestha Elisha, Basukala Manisha Singh, Mishra Aditi, Pradhan Namrata, Sharma Anupa, Tamang Ashish

机构信息

Department of Dermatology, Venereology and Leprosy, Kathmandu University School of Medical Sciences Dhulikhel Hospital Dhulikhel Nepal.

Kathmandu University School of Medical Sciences, Dhulikhel Hospital Dhulikhel Nepal.

出版信息

Clin Case Rep. 2024 Jul 28;12(8):e9228. doi: 10.1002/ccr3.9228. eCollection 2024 Aug.

DOI:10.1002/ccr3.9228
PMID:39077726
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11284235/
Abstract

Shiitake mushroom-induced flagellate dermatitis is a rare but important condition to consider in patients presenting with pruritic skin lesions following mushroom ingestion, especially in regions where such cases are uncommon. Early recognition and appropriate management with oral and topical steroids are crucial for effective symptom resolution and preventing complications. Clinicians should be aware of the characteristic rash and the temporal relationship between mushroom consumption and rash onset. Educating patients about the risks associated with consuming raw or undercooked shiitake mushrooms is essential to prevent recurrence.

摘要

香菇诱发的鞭毛虫性皮炎是一种罕见但重要的病症，对于食用香菇后出现瘙痒性皮肤损害的患者需要加以考虑，尤其是在此类病例不常见的地区。早期识别并使用口服和外用类固醇进行适当治疗对于有效缓解症状和预防并发症至关重要。临床医生应了解特征性皮疹以及食用香菇与皮疹发作之间的时间关系。对患者进行关于食用生的或未煮熟的香菇相关风险的教育对于预防复发至关重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11284235/7e90fda6b38d/CCR3-12-e9228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11284235/f34ff6ec3d80/CCR3-12-e9228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11284235/7e90fda6b38d/CCR3-12-e9228-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11284235/f34ff6ec3d80/CCR3-12-e9228-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/24ca/11284235/7e90fda6b38d/CCR3-12-e9228-g001.jpg

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A closer look at chemotherapy-induced flagellate dermatitis.深入探究化疗引起的鞭毛虫性皮炎。
Skin Health Dis. 2022 Jan 19;2(1):e92. doi: 10.1002/ski2.92. eCollection 2022 Mar.
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Clinical features of shiitake dermatitis: a systematic review.香菇皮炎的临床特征：一项系统综述
Int J Dermatol. 2017 Jun;56(6):610-616. doi: 10.1111/ijd.13433. Epub 2017 Jan 4.
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Pustular flagellate dermatitis after consumption of shiitake mushrooms.食用香菇后出现脓疱性鞭毛状皮炎。
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Shiitake dermatitis.香菇皮炎
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Shiitake dermatitis: the first case reported in Brazil.香菇皮炎：巴西首例报告病例。
An Bras Dermatol. 2013 May-Jun;88(3):417-9. doi: 10.1590/abd1806-4841.20131849.
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Flagellate dermatitis caused by shiitake mushrooms.香菇引起的鞭毛虫性皮炎。
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DRESS-like syndrome induced by shiitake mushroom.香菇诱发的类中毒性表皮坏死松解症样综合征。
Eur J Dermatol. 2011 Jul-Aug;21(4):640-1. doi: 10.1684/ejd.2011.1398.
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Flagellate dermatitis as a bleomycin-specific adverse effect of cytostatic therapy: a clinical-histopathologic correlation.鞭毛样皮炎作为细胞毒性药物治疗的博莱霉素特异性不良反应：临床-组织病理学相关性。
Am J Clin Dermatol. 2011 Feb 1;12(1):68-76. doi: 10.2165/11537080-000000000-00000.
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Flagellate erythema.鞭毛虫性红斑
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