Shiitake mushroom dermatitis Shiitake mushroom dermatitis Shiitake mushroom dermatitis (also known as "flagellate mushroom dermatitis", "mushroom worker's disease", and "shiitake-induced toxicoderma") is an intensely pruritic dermatitis characterized by disseminated 1mm erythematous micropapules seen in a linear grouped arrangement secondary to Koebnerization due to patient scratching. It is caused by the ingestion of shiitake mushrooms and was first described in 1977 by Nakamura. Although it is rarely seen outside of China and Japan due to a lower incidence of shiitake consumption outside these regions, there is a well-established association between flagellate dermatitis and shiitake mushroom (Lentinula edodes) ingestion. Bleomycin ingestion may also cause similar
What Work Is workers, but artists, readers, and academics. Levine's poetry is accessible and moving and is utterly American. The poems in "What Work Is" are more subtle in their thematic construction. Levine does not use caricatures in these poems but instead intimates real blue-collar workers. Many of the poems give a representation of a station of life not common in the subject matter of contemporary American poetry. Although not all of "What Work Is" is primarily about the working class. Instead the poems have a wide range and variety. However many of these poems, despite their subject matter, show elements that identify