Shiitake dermatitis: the tale of an under-recognised, undercooked fungus

McNally, Ashling; Ross, Christopher; Wayte, Jeffrey

doi:10.5694/mja15.00963

Topics

Skin and connective tissue diseases

General medicine

Immune system diseases

Clinical records

Royal Adelaide Hospital, Adelaide, SA

Correspondence: Ashling.McNally@sa.gov.au

Acknowledgements:

We thank Jared Brown, Deputy Manager of the NSW Poisons Information Centre, for providing the data on the cases of shiitake dermatitis reported to the NSW Poisons Information Centre.

Competing interests:

No relevant disclosures.

1. Boels D, Landreau A, Bruneau C, et al. Shiitake dermatitis recorded by French Poison Control Centers – new case series with clinical observations. Clin Toxicol 2014; 52: 625-628.
2. Nakamura T. Shiitake (Lentinus edodes) dermatitis. Contact Dermatitis 1992; 27: 65-70.
3. Curnow P, Tam M. Contact dermatitis to Shiitake mushroom. Australas J Dermatol 2003; 44: 155-157.
4. Chen A, Kwon H, Hobbs C, et al. Mushroom growers’ handbook 2: shiitake cultivation. Seoul: MushWorld, 2005. http://mushroomtime.org/wp-content/uploads/2014/06/03-Mushroom-Growers-Handbook-2.-Cultivo-de-Shiitake-MUSHWORLD.pdf (accessed Dec 2015).
5. Tan Q, Tan C. Log-grown shiitake is perhaps the real cause for Shiitake dermatitis. J Eur Acad Dermatol Venereol 2016; 30: 197-198.
6. Aalto-Korte K, Susitaival P, Kaminska R, Makinen-Kiljunen S. Occupational protein contact dermatitis from shiitake mushroom and demonstration of shiitake-specific immunoglobulin E. Contact Dermatitis 2005; 53: 211-213.
7. Paulsen E, Petersen TH, Frette XC, et al. Systemic allergic dermatitis caused by Apiaceae root vegetables. Contact Dermatitis 2014; 70: 98-103.
8. De Marchi S, Cecchin E, De Marchi SU. Systemic allergic dermatitis resulting from oral administration of chromium with a food supplement. Contact Dermatitis 2014; 70: 123-125.
9. Hanada K, Hashimoto I. Flagellate mushroom (Shiitake) dermatitis and photosensitivity. Dermatology 1998; 197: 255-257.
10. Corazza M, Zauli S, Ricci M, et al. Shiitake dermatitis: toxic or allergic reaction? J Eur Acad Dermatol Venereol 2015; 29: 1449-1451.
11. Loo HV, Oon HH. Flagellate dermatitis following consumption of shiitake mushroom. Dermatol Rep 2011; 3: e21.
12. Carey K. Australian shiitake mushroom production set to ‘sprout up’ everywhere. Australian Food News [website], Oct 2012. http://ausfoodnews.com.au/2012/10/17/australian-shiitake-mushroom-production-set-to-%E2%80%98sprout-up%E2%80%99-everywhere.html (accessed Dec 2015).

Online responses are no longer available. Please refer to our instructions for authors page for more information.