Shiitake mushroom dermatitis findings. On physical exam, one key difference between the two is that post-inflammatory hyperpigmentation changes are usually seen with bleomycin-induced flagellate dermatitis and are not typically present with shiitake mushroom induced flagellate dermatitis. The median time of onset from ingestion of shiitake mushrooms is typically 24 hours, ranging from 12 hours to 5 days. Most patients completely recover by 3 weeks, with or without treatment. Although the pathogenesis of shiitake induced flagellate dermatitis is not clear, the theory most argued for is a toxic reaction to lentinan, a polysaccharide isolated from shiitake mushrooms. However, Type I and Type IV allergic
What Work Is sometimes been criticized for leaning too hard on his blue-collar "bona fides". The critic Adam Kirsch, writing in "The Times Book Review" in 1999, noted, accurately enough, that “in his autobiographical essays he goes out of his way to tell us that he is essentially a peasant.” David Baker, writing about "What Work Is" (1991) in the "Kenyon Review", said Levine has “one of our most resonant voices of social conviction and witness, and he speaks with a powerful clarity…What Work Is may be one of the most important books of poetry of our time. Poem after poem confronts the