{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,8,19]],"date-time":"2025-08-19T09:56:37Z","timestamp":1755597397578},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"9-10","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,8,29]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n               <jats:p>Shiitake flagellate dermatitis is an intensely pruritic erythematous or violaceous eruption marked by \u201cwhip-like\u201d linear streaks consisting of papules or plaques following the ingestion of undercooked shiitake mushrooms (Lentinula edodes). Most commonly localized on the trunk and upper limbs, the characteristic pattern of the rash is associated with the consumption of lentinan, a thermolabile toxin found within the mushroom, as well as a broad range of other dermatological conditions, including dermatomyositis, adult-onset Still\u2019s disease, and reactions to medications such as bleomycin. In this case report, we present a 24year-old active duty service member who presented to the clinic for the evaluation of a flagellate erythematous eruption on his abdomen, back, and extremities. As U.S. forces pivot to operating in austere and resource-limited settings in the Pacific, recognizing the spectrum of diagnoses encompassed by flagellate erythema is important for maintaining operational readiness and differentiating self-limited cutaneous manifestations from more serious underlying conditions associated with this finding.<\/jats:p>","DOI":"10.1093\/milmed\/usac147","type":"journal-article","created":{"date-parts":[[2022,5,31]],"date-time":"2022-05-31T20:24:44Z","timestamp":1654028684000},"page":"3285-3288","source":"Crossref","is-referenced-by-count":1,"title":["Shiitake Dermatitis and Potential Implications for Military Readiness"],"prefix":"10.1093","volume":"188","author":[{"given":"Bianca N","family":"Eubanks","sequence":"first","affiliation":[{"name":"F. Edward H\u00e9bert School of Medicine, Uniformed Services University of the Health Sciences , Bethesda, MD 20814, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"John F","family":"Linabury","sequence":"additional","affiliation":[{"name":"Department of Dermatology, Navy Medicine Readiness and Training Command San Diego , San Diego, CA 92134, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Erik A","family":"Kumetz","sequence":"additional","affiliation":[{"name":"Flight Medicine, Marine Corps Air Station Miramar , San Diego, CA 92145, USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,5,28]]},"reference":[{"issue":"10","key":"2023083018174781500_R1","first-page":"591","article-title":"Toxikodermie durch den Speisepilz Shiitake (Lentinus edodes) [Toxicodermia cause by the edible mushroom shiitake (Lentinus edodes)]","volume":"36","author":"Nakamura","year":"1985","journal-title":"Hautarzt"},{"issue":"2","key":"2023083018174781500_R2","doi-asserted-by":"crossref","DOI":"10.4081\/dr.2011.e21","article-title":"Flagellate dermatitis following consumption of shiitake mushroom","volume":"3","author":"Loo","year":"2011","journal-title":"Dermatol Rep"},{"issue":"6","key":"2023083018174781500_R3","doi-asserted-by":"crossref","first-page":"625","DOI":"10.3109\/15563650.2014.923905","article-title":"Shiitake dermatitis recorded by French Poison Control Centers - new case series with clinical observations","volume":"52","author":"Boels","year":"2014","journal-title":"Clin Toxicol (Phila)"},{"key":"2023083018174781500_R4","first-page":"1115","volume-title":"Dermatology","author":"Chang","year":"2018","edition":"4th"},{"issue":"3","key":"2023083018174781500_R5","doi-asserted-by":"crossref","first-page":"117","DOI":"10.1016\/j.jdcr.2015.02.010","article-title":"Pustular flagellate dermatitis after consumption of shiitake mushrooms","volume":"1","author":"Netchiporouk","year":"2015","journal-title":"JAAD Case Rep"},{"issue":"3","key":"2023083018174781500_R6","doi-asserted-by":"crossref","first-page":"E8","DOI":"10.12788\/cutis.0354","article-title":"Flagellate shiitake mushroom reaction with histologic features of acute generalized exanthematous pustulosis","volume":"108","author":"Browning","year":"2021","journal-title":"Cutis"},{"key":"2023083018174781500_R7","article-title":"Baked shiitake mushrooms","volume-title":"Healthy Recipes","author":"DeLeeuw","year":"2021"},{"key":"2023083018174781500_R8","article-title":"Marinated shiitake mushroom and cucumber salad","author":"Harvard School of Public Health"},{"issue":"5","key":"2023083018174781500_R9","doi-asserted-by":"crossref","first-page":"e179","DOI":"10.1111\/ijd.12361","article-title":"Shiitake dermatitis demonstrating K\u00f6ebner phenomenon","volume":"54","author":"Ade","year":"2015","journal-title":"Int J Dermatol"},{"issue":"3","key":"2023083018174781500_R10","doi-asserted-by":"crossref","first-page":"463","DOI":"10.1590\/S0365-05962012000300017","article-title":"Flagellate dermatitis caused by shiitake mushrooms","volume":"87","author":"Poppe","year":"2012","journal-title":"An Bras Dermatol"},{"key":"2023083018174781500_R11","volume-title":"StatPearls","author":"Qudsiya","year":"2021"},{"key":"2023083018174781500_R12","volume-title":"StatPearls","author":"Bhargava","year":"2021"}],"container-title":["Military Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/9-10\/3285\/51307699\/usac147.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/milmed\/article-pdf\/188\/9-10\/3285\/51307699\/usac147.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,8,30]],"date-time":"2023-08-30T18:17:58Z","timestamp":1693419478000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/milmed\/article\/188\/9-10\/3285\/6594425"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,5,28]]},"references-count":12,"journal-issue":{"issue":"9-10","published-online":{"date-parts":[[2022,5,28]]},"published-print":{"date-parts":[[2023,8,29]]}},"URL":"https:\/\/doi.org\/10.1093\/milmed\/usac147","relation":{},"ISSN":["0026-4075","1930-613X"],"issn-type":[{"value":"0026-4075","type":"print"},{"value":"1930-613X","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,9,1]]},"published":{"date-parts":[[2022,5,28]]}}}