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Cussigh, Christiane S.; Fink, Christine; Winkler, Julia K.; Toberer, Ferdinand; Enk, Alexander; Sattler, Elke C. und Haenssle, Holger A. (2019): Konfokale Lasermikroskopie bei Shiitake-Dermatitis. In: Hautarzt, Vol. 70, No. 10: pp. 811-814

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Abstract

Shiitake dermatitis usually occurs 1-2 days after consumption of incompletely cooked or raw shiitake mushrooms and is characterized by linear, pruritic, erythematous papulovesicular rashes. It is caused by lentinan, a polysaccharide component of the cell walls of shiitake mushrooms. The histological examination showed an eczema-like morphology with spongiosis and lymphohistiocytic infiltrates. The results of reflectance confocal microscopy (RCM) correlated with the histopathological investigations. Therefore, RCM can be used for non-invasive diagnostic confirmation of Shiitake dermatitis in the future.

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