Emily is a health news writer based in London, United Kingdom. She holds a bachelor's degree in biology from Durham University and a master's degree in clinical and therapeutic neuroscience from Oxford University. She has worked in science communication, medical writing and as a local news reporter while undertaking journalism training.
A man ended up in the emergency department with a painful rash that crosshatched his entire back after he ate a very common edible mushroom.
The team initially ruled out dermographism, a condition that causes raised marks to form on the skin after it is scratched or rubbed. There were also no signs that his lymph nodes were swollen, which can indicate a viral or bacterial infection, or that the condition had begun to affect other tissues of the body.
The streaky rashes look similar to those that patients who take the chemotherapy drug bleomycin sometimes develop. They also look similar to rashes tied to dermatomyositis, an inflammatory condition that causes muscle weakness in addition to skin rashes, and adult-onset Still's disease, a type of inflammatory arthritis.
Lentinan is broken down when heated, which is why this reaction occurs only when people eat raw or undercooked shiitake mushrooms.
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