Shiitake dermatitis.

Shiitake Dermatitis is a skin eruption that resembles whiplash marks and occurs after consumption of raw shiitake mushrooms. It is caused by a toxic reaction to lentinan, a thermolabil polysaccharide which decomposes upon heating. We report the second case of this dermatitis in Brazil. A 25-year-old man presented with linearly arranged erythematous, pruritic papules on the trunk and limbs, after ingestion of a salad containing raw shiitake mushrooms. The eruption was self-limited, resolving within 10 days of onset. The recognition of this entity gains importance due to the increased consumption of shiitake mushrooms in occidental countries.

Estudo histológico, imuno-histoquímico e ultra-estrutural das lesões induzidas experimentalmente por Ramaria flavo-brunnescens (Clavariaceae) em bovinos / Microscopic, immunohistochemical, and ultra-structural study of the lesions experimentaly induced by Ramaria flavo-brunnescens (Clavariaceae) in cattle

O objetivo deste trabalho foi estudar a patogenia das lesões observadas em bovinos intoxicados experimentalmente por Ramaria flavo-brunnescens. O cogumelo foi administrado imediatamente após a coleta a três bovinos da raça Jersey com 9-10 meses de idade. A dose diária administrada foi cerca de 20g/kg de peso vivo durante 7 (Bovino 1) e 13 dias (Bovinos 2 e 3), perfazendo doses totais de 140, 268 e 261g/kg de peso vivo a cada bovino, respectivamente. Um bovino (Bovino 4) da mesma raça e idade foi utilizado como controle. Os sinais clínicos observados nos bovinos intoxicados, caracterizaram-se por apatia, anorexia, hiperemia da mucosa oral, alisamento da superfície dorsal da língua e queda dos pêlos longos da cauda quando levemente tracionados. Os bovinos foram submetidos à eutanásia e necropsiados no 8° (Bovino 1) e no 16° dia (Bovinos 2-4) após o início do experimento. Histologicamente observou-se o epitélio da superfície dorsal da língua estreito com ausência das papilas filiformes, vacuolização dos queratinócitos e desprendimento da camada queratinizada. Na região laminar dos cascos observou-se vacuolização das lâminas epidérmicas, hiperplasia dos queratinócitos e queratinização irregular e flocular. Na pele da extremidade da cauda havia hiperqueratose ortoqueratótica, vacuolização da bainha radicular externa, espessamento da queratina triquilêmica e infiltrado inflamatório mononuclear ao redor dos folículos. No estudo imunohistoquímico, utilizando os anticorpos anti-pancitoqueratina e anti-Ki67 (para marcação da proliferação celular) não foram observadas diferenças entre o epitélio da superfície dorsal da língua dos bovinos intoxicados e o do bovino controle. No estudo por microscopia eletrônica, observou-se diminuição dos tonofilamentos e espaços intercelulares acentuadamente dilatados na camada espinhosa do epitélio da língua. Os resultados obtidos neste trabalho favorecem a hipótese de ação do princípio tóxico de Ramaria flavo-brunnescens...

The objective of this study was to investigate the pathogenesis of the lesions observed in cattle experimentally poisoned by Ramaria flavo-brunnescens. The mushroom was given to three 9 to10-month-old Jersey calves immediately after harvesting. Daily doses were around 20g/kg of body weight during 7 (Calf 1) or 13 days (Calves 2-3), and the total doses of mushroom given were 140, 268, and 261g/kg of body weight, respectively. One calf (Calf 4) with same age and breed was used as control. Clinical signs were characterized by prostration, anorexia, hyperemia of oral mucosa, and loosening of long hairs of the tail tip under mild traction. The calves were submitted to euthanasia and necropsied on days 8 (Calf 1) and 15 (Calves 2-4) after the beginning of the experiment. Microscopically, there was smoothness of dorsal epithelium of tongue with absence of filiform papillae, vacuolation of keratinocytes, and loosening of the keratin layer. In the hooves, there was vacuolation and irregular keratinization of the laminar epidermis and hyperplasia of keratinocytes. Hyperkeratosis, vacuolation of the external root sheath, thickening of tricholemal keratin, and inflammatory infiltration around hair follicles were observed on the skin of the tail tip. Immunohistochemical results with anti-pancytoceratin and anti-Ki67 (cell proliferation marker) antibodies showed no differences between the tongue dorsal epithelium of the control and experimental calves. Ultrastructural study demonstrated decrease in tonofilaments and increased intercellular spaces of the spinous layer of the tongue dorsal epithelium. The results of this study favor the hypothesis of an interference with the epithelial keratinization mechanisms by the toxic principles of Ramaria flavo-brunnescens.

Estudo histológico, imuno-histoquímico e ultra-estrutural das lesões induzidas experimentalmente por Ramaria flavo-brunnescens (Clavariaceae) em bovinos / Microscopic, immunohistochemical, and ultra-structural study of the lesions experimentaly induced by Ramaria flavo-brunnescens (Clavariaceae) in cattle

O objetivo deste trabalho foi estudar a patogenia das lesões observadas em bovinos intoxicados experimentalmente por Ramaria flavo-brunnescens. O cogumelo foi administrado imediatamente após a coleta a três bovinos da raça Jersey com 9-10 meses de idade. A dose diária administrada foi cerca de 20g/kg de peso vivo durante 7 (Bovino 1) e 13 dias (Bovinos 2 e 3), perfazendo doses totais de 140, 268 e 261g/kg de peso vivo a cada bovino, respectivamente. Um bovino (Bovino 4) da mesma raça e idade foi utilizado como controle. Os sinais clínicos observados nos bovinos intoxicados, caracterizaram-se por apatia, anorexia, hiperemia da mucosa oral, alisamento da superfície dorsal da língua e queda dos pêlos longos da cauda quando levemente tracionados. Os bovinos foram submetidos à eutanásia e necropsiados no 8º (Bovino 1) e no 16º dia (Bovinos 2-4) após o início do experimento. Histologicamente observou-se o epitélio da superfície dorsal da língua estreito com ausência das papilas filiformes, vacuolização dos queratinócitos e desprendimento da camada queratinizada. Na região laminar dos cascos observou-se vacuolização das lâminas epidérmicas, hiperplasia dos queratinócitos e queratinização irregular e flocular. Na pele da extremidade da cauda havia hiperqueratose ortoqueratótica, vacuolização da bainha radicular externa, espessamento da queratina triquilêmica e infiltrado inflamatório mononuclear ao redor dos folículos. No estudo imunohistoquímico, utilizando os anticorpos anti-pancitoqueratina e anti-Ki67 (para marcação da proliferação celular) não foram observadas diferenças entre o epitélio da superfície dorsal da língua dos bovinos intoxicados e o do bovino controle. No estudo por microscopia eletrônica, observou-se diminuição dos tonofilamentos e espaços intercelulares acentuadamente dilatados na camada espinhosa do epitélio da língua. Os resultados obtidos neste trabalho favorecem a hipótese de ação do princípio tóxico de Ramaria flavo-brunnescens...(AU)

The objective of this study was to investigate the pathogenesis of the lesions observed in cattle experimentally poisoned by Ramaria flavo-brunnescens. The mushroom was given to three 9 to10-month-old Jersey calves immediately after harvesting. Daily doses were around 20g/kg of body weight during 7 (Calf 1) or 13 days (Calves 2-3), and the total doses of mushroom given were 140, 268, and 261g/kg of body weight, respectively. One calf (Calf 4) with same age and breed was used as control. Clinical signs were characterized by prostration, anorexia, hyperemia of oral mucosa, and loosening of long hairs of the tail tip under mild traction. The calves were submitted to euthanasia and necropsied on days 8 (Calf 1) and 15 (Calves 2-4) after the beginning of the experiment. Microscopically, there was smoothness of dorsal epithelium of tongue with absence of filiform papillae, vacuolation of keratinocytes, and loosening of the keratin layer. In the hooves, there was vacuolation and irregular keratinization of the laminar epidermis and hyperplasia of keratinocytes. Hyperkeratosis, vacuolation of the external root sheath, thickening of tricholemal keratin, and inflammatory infiltration around hair follicles were observed on the skin of the tail tip. Immunohistochemical results with anti-pancytoceratin and anti-Ki67 (cell proliferation marker) antibodies showed no differences between the tongue dorsal epithelium of the control and experimental calves. Ultrastructural study demonstrated decrease in tonofilaments and increased intercellular spaces of the spinous layer of the tongue dorsal epithelium. The results of this study favor the hypothesis of an interference with the epithelial keratinization mechanisms by the toxic principles of Ramaria flavo-brunnescens.(AU)

Estudo histológico, imuno-histoquímico e ultra-estrutural das lesões induzidas experimentalmente por Ramaria flavo-brunnescens (Clavariaceae) em bovinos / Microscopic, immunohistochemical, and ultra-structural study of the lesions experimentaly induced by Ramaria flavo-brunnescens (Clavariaceae) in cattle

O objetivo deste trabalho foi estudar a patogenia das lesões observadas em bovinos intoxicados experimentalmente por Ramaria flavo-brunnescens. O cogumelo foi administrado imediatamente após a coleta a três bovinos da raça Jersey com 9-10 meses de idade. A dose diária administrada foi cerca de 20g/kg de peso vivo durante 7 (Bovino 1) e 13 dias (Bovinos 2 e 3), perfazendo doses totais de 140, 268 e 261g/kg de peso vivo a cada bovino, respectivamente. Um bovino (Bovino 4) da mesma raça e idade foi utilizado como controle. Os sinais clínicos observados nos bovinos intoxicados, caracterizaram-se por apatia, anorexia, hiperemia da mucosa oral, alisamento da superfície dorsal da língua e queda dos pêlos longos da cauda quando levemente tracionados. Os bovinos foram submetidos à eutanásia e necropsiados no 8º (Bovino 1) e no 16º dia (Bovinos 2-4) após o início do experimento. Histologicamente observou-se o epitélio da superfície dorsal da língua estreito com ausência das papilas filiformes, vacuolização dos queratinócitos e desprendimento da camada queratinizada. Na região laminar dos cascos observou-se vacuolização das lâminas epidérmicas, hiperplasia dos queratinócitos e queratinização irregular e flocular. Na pele da extremidade da cauda havia hiperqueratose ortoqueratótica, vacuolização da bainha radicular externa, espessamento da queratina triquilêmica e infiltrado inflamatório mononuclear ao redor dos folículos. No estudo imunohistoquímico, utilizando os anticorpos anti-pancitoqueratina e anti-Ki67 (para marcação da proliferação celular) não foram observadas diferenças entre o epitélio da superfície dorsal da língua dos bovinos intoxicados e o do bovino controle. No estudo por microscopia eletrônica, observou-se diminuição dos tonofilamentos e espaços intercelulares acentuadamente dilatados na camada espinhosa do epitélio da língua. Os resultados obtidos neste trabalho favorecem a hipótese de ação do princípio tóxico de Ramaria flavo-brunnescens...

The objective of this study was to investigate the pathogenesis of the lesions observed in cattle experimentally poisoned by Ramaria flavo-brunnescens. The mushroom was given to three 9 to10-month-old Jersey calves immediately after harvesting. Daily doses were around 20g/kg of body weight during 7 (Calf 1) or 13 days (Calves 2-3), and the total doses of mushroom given were 140, 268, and 261g/kg of body weight, respectively. One calf (Calf 4) with same age and breed was used as control. Clinical signs were characterized by prostration, anorexia, hyperemia of oral mucosa, and loosening of long hairs of the tail tip under mild traction. The calves were submitted to euthanasia and necropsied on days 8 (Calf 1) and 15 (Calves 2-4) after the beginning of the experiment. Microscopically, there was smoothness of dorsal epithelium of tongue with absence of filiform papillae, vacuolation of keratinocytes, and loosening of the keratin layer. In the hooves, there was vacuolation and irregular keratinization of the laminar epidermis and hyperplasia of keratinocytes. Hyperkeratosis, vacuolation of the external root sheath, thickening of tricholemal keratin, and inflammatory infiltration around hair follicles were observed on the skin of the tail tip. Immunohistochemical results with anti-pancytoceratin and anti-Ki67 (cell proliferation marker) antibodies showed no differences between the tongue dorsal epithelium of the control and experimental calves. Ultrastructural study demonstrated decrease in tonofilaments and increased intercellular spaces of the spinous layer of the tongue dorsal epithelium. The results of this study favor the hypothesis of an interference with the epithelial keratinization mechanisms by the toxic principles of Ramaria flavo-brunnescens.

Experimental intoxication by the mushroom Ramaria flavo-brunnescens in sheep.

Ramaria flavo-brunnescens collected in autumn from 1990 to 1994 was orally administered to 11 sheep. These animals were dosed with 100-430 g/kg bw administered over 3-13 d. Six sheep showed clinical signs and 4 of them died. The mininum toxic dose was of 150 g/kg bw. Clinical signs were anorexia, hyperthermia, dyspnea, polyuria, ataxy, muscle tremors and seizures. The eyes had hyperemia of the sclera and, in some cases, hemorrhages of the anterior chamber or corneal opacity. Sheep dosed with higher doses had ulcerations of the tongue and necrotic lesions in the hooves. The main histologic lesions of the feet and tongue were miopachynsis and endotelial degeneration followed by degeneration, necrosis and ulceration of the epithelium. Hemorrhages of the anterior chamber, and severe congestion and hemorrhages of the iris, ciliary body and process were observed in the eyes. Congestion and perivascular hemorrhages occurred in the central nervous system. The similarity of clinical signs and pathologic lesions induced by R flavo-brunnescens and those caused by ergotism in cattle and sheep suggests the presence ofa vasoactive constrictive substance in the mushroom. Fresh R flavo-brunnescens dosed in autumn 1993 was not toxic at doses of 200-400 g/kg demonstrating variations in the toxicity of the mushroom from year to year.

Experimental poisoning of cattle by the mushroom Ramaria flavo-brunnescens (Clavariaceae): a study of the morphology and pathogenesis of lesions in hooves, tail, horns and tongue.

Seven 2 to 7-mo-old calves were fed the mushroom Ramaria flavo-brunnescens. Clinical signs of toxicosis included salivation, nasal serous discharge, smoothing of the dorsum of the tongue, increased sensitivity in the hooves, reddening of the coronary bands, loss of the long hairs of the tip of the tail, softening of the base of the horns, and progressive weight loss. Affected calves either died or were euthanatized in extremis within 12-37 d from the initiation of feeding. Postmortem examination confirmed changes observed in the live calves. Histopathologic changes were marked in those structures where hard keratinization occurred and there normally is a high uptake of sulfur in the form of cystine during the keratinization process. Toxicosis appeared to alter the metabolism of sulfur-containing amino acids in keratinocytes, particularly cystine, with resultant strength loss in the molecular structure of hard keratin and loosening of the hooves, hairs and horns, and flattening of the lingual filiform papillae.