Disease: flagellate dermatitis

A characteristic rash caused by Shiitake mushrooms – An emerging concern?

Eating raw or undercooked Shiitake mushrooms can cause a distinctive whip-like rash in some people called Shiitake mushroom dermatitis. This dramatic rash appears 2-5 days after consumption but is not dangerous and goes away on its own in 10-14 days. The condition is caused by a compound called Lentinan that breaks down when mushrooms are cooked at higher temperatures, so properly cooking Shiitake mushrooms prevents the reaction.

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Flagellate Dermatitis by Shiitake Mushroom

This case study describes a young man who developed whip-like linear rashes on his skin a few days after eating shiitake mushrooms. The rash, called flagellate dermatitis, is caused by a heat-sensitive substance in undercooked shiitake called lentinan. The condition is harmless and disappeared completely within a week after applying a steroid cream, highlighting the importance of cooking shiitake thoroughly to prevent this reaction.

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