Hanada K, Hashimoto I
Department of Dermatology, Hirosaki University School of Medicine, Hirosaki, Japan.
Dermatology. 1998;197(3):255-7. doi: 10.1159/000018007.
Flagellate skin lesions occur in some patients after eating the mushroom Lentinus edodes, and they are called shiitake dermatitis in Japan. We describe a 44-year-old man with such skin lesions on his trunk after eating L. edodes, who developed as well photosensitive skin lesions on exposed areas. Skin phototesting with UVB did not show a decreased minimum erythema dose; UVA irradiation provoked an erythematous lesion with nonspecific histological changes. Analysis of the case histories of 94 Japanese patients with shiitake dermatitis revealed that 44 (47%) also developed dermatitis on the skin exposed to sunlight. UVA photodermatitis has not been emphasized in previous reports. The relationship to bleomycin flagellate dermatitis is discussed.
部分患者食用香菇后会出现鞭毛虫样皮肤损害，在日本被称为香菇皮炎。我们报告一名44岁男性，食用香菇后躯干出现此类皮肤损害，同时暴露部位也出现了光敏性皮肤损害。用紫外线B进行皮肤光试验未显示最小红斑量降低；紫外线A照射诱发了非特异性组织学改变的红斑性损害。对94例日本香菇皮炎患者的病历分析显示，44例（47%）在暴露于阳光的皮肤部位也出现了皮炎。以往报告中未强调紫外线A光皮炎。本文还讨论了其与博来霉素鞭毛虫样皮炎的关系。
