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A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1



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[Encyclopedia of Differential Diagnosis in Dermatology] Paul Schneiderman, Marc E. Grossman - A Clinician\'s Guide to Dermatologic Differential Diagnosis, Volume 1 The Text (Encyclopedia of Differential Diagnosis in D

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A CLINICIAN’S GUIDE TO DERMATOLOGIC DIFFERENTIAL DIAGNOSIS, VOLUME 1
Schneiderman page 200-300.qxd 5/16/2006 6:49 PM Page 228


Thyroid releasing hormone
Thyrotropin releasing hormone
Tricyclic antidepressants
Vancomycin – red man syndrome; flushing of upper body 
NEJM
312:245, 1985
Zollinger–Ellison syndrome 
Ghatan p.246, 2002, Second
Edition
RESTAURANT FLUSHING REACTIONS
Capsaicin in spicy foods
Food poisoning
Bacillus subtilis
Ciguatera fish poisoning – flushing, diarrhea, vomiting,
abdominal pain, pruritus, temperature reversal, dysesthesia,
diffuse tingling pain, burning tongue, gingiva, teeth, myalgia,
weakness, and ataxia; ciguatoxin produced by coral reef
dinoflagellate plankton species ingested by herbivorous fish;
incubation period is 15 minutes to 3 hours
Scombroid fish poisoning – incubation period is 10 to 30
minutes; fish tastes tangy, hot, bitter, spicy, peppery; headache,
nausea, sweating, oral burning, abdominal pain, diarrhea,
vomiting, and urticaria; scombroid mackerel-like fish include
tuna, skipjack, bonito, albacore, and mackerel; non-scombroid
fish include herring, sardine, pilchard, anchovy, mahimahi,
bluefish, marlin, amberjack, yellowtail, kahala, kahawai,
mahimahi 
AD 115:963–965, 1979; and Japanese saury,
Western Australian salmon 
Med J Aust 157:748–751, 1992
Herbal tea poisoning – anticholinergic – plant – ilex
paraguariensis 
MMWR 44:193–195, 1995
Monosodium glutamate – very rare 
Rook p.2101, 1998,
Sixth Edition
Sodium nitrite
Sulfites
Tartrazine in aspirin-sensitive individuals
Sour foods 
Rook p.2100–2101, 1998, Sixth Edition
Spicy foods 
Rook p.2100–2101, 1998, Sixth Edition

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