中华皮肤科杂志
中華皮膚科雜誌
중화피부과잡지
Chinese Journal of Dermatology
2014年
3期
208-209
,共2页
施为%张经纬%谢红付%陈翔%陈明亮
施為%張經緯%謝紅付%陳翔%陳明亮
시위%장경위%사홍부%진상%진명량
皮炎%蕈形香菇%病例报告
皮炎%蕈形香菇%病例報告
피염%심형향고%병례보고
Dermatitis%Shiitake mushrooms%Case reports
报道2例进食香菇24 h后出现典型皮损的病例并总结其特点.例1女,56岁,因突起广泛性皮疹,稍痒就诊.体检:颈部、躯干、肢体见鞭打样条状鲜红色水肿性红斑块,起病前1d吃过香菇,诊断:香菇皮炎.例2男,60岁,躯干、四肢水肿性鞭打样红斑块、丘疹4d.起病2~3d前有食香菇史.取皮损组织病理检查:灶性角化不全,棘细胞内外水肿,真皮乳头高度水肿,纤维间隙明显增宽;真皮浅层毛细血管扩张充血,管周致密的淋巴细胞和少数中性粒细胞浸润.诊断:香菇皮炎.两例均给予泼尼松及抗组胺药物治疗3d和4d,皮疹消退.
報道2例進食香菇24 h後齣現典型皮損的病例併總結其特點.例1女,56歲,因突起廣汎性皮疹,稍癢就診.體檢:頸部、軀榦、肢體見鞭打樣條狀鮮紅色水腫性紅斑塊,起病前1d喫過香菇,診斷:香菇皮炎.例2男,60歲,軀榦、四肢水腫性鞭打樣紅斑塊、丘疹4d.起病2~3d前有食香菇史.取皮損組織病理檢查:竈性角化不全,棘細胞內外水腫,真皮乳頭高度水腫,纖維間隙明顯增寬;真皮淺層毛細血管擴張充血,管週緻密的淋巴細胞和少數中性粒細胞浸潤.診斷:香菇皮炎.兩例均給予潑尼鬆及抗組胺藥物治療3d和4d,皮疹消退.
보도2례진식향고24 h후출현전형피손적병례병총결기특점.례1녀,56세,인돌기엄범성피진,초양취진.체검:경부、구간、지체견편타양조상선홍색수종성홍반괴,기병전1d흘과향고,진단:향고피염.례2남,60세,구간、사지수종성편타양홍반괴、구진4d.기병2~3d전유식향고사.취피손조직병리검사:조성각화불전,극세포내외수종,진피유두고도수종,섬유간극명현증관;진피천층모세혈관확장충혈,관주치밀적림파세포화소수중성립세포침윤.진단:향고피염.량례균급여발니송급항조알약물치료3d화4d,피진소퇴.
Two patients who developed typical skin eruptions 24 hours after consumption of shiitake mushrooms are reported.Case 1:a 56-year-old woman suddenly developed widespread itching eruptions one day after intake of shiitake mushrooms.On examination,there were erythematous and edematous linear streaks (flagellate erythema) over the neck,trunk and limbs.Case 2:a 60-year-old man presented with edematous flagellate erythema over the trunk and limbs for four days.He reported intake of shiitake mushroom several days prior to the presentation.Pathological examination revealed focal parakeratosis,intracellular and intercellular edema in the prickle cell layer,severe edema of papillary dermis,evident widening of interfibrous spaces,dilation and congestion of capillaries in the superficial dermis with a mixed perivascular infiltrate of massive lymphocytes and sparse neutrophils.Both patients were diagnosed with shiitake dermatitis,and treated with prednisone and antihistamines.The lesions subsided after 3 and 4 days of treatment in patient 1 and 2 respectively.