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Kava dermopathy
1Department of Medicine, Tripler Army Medical Center, Honolulu, HI 96859.
Journal of the American Academy of Dermatology
|July 1, 1994
Summary
Kava, a traditional Pacific Islander beverage, can cause a unique scaly skin condition known as kava dermopathy. This reversible eruption in heavy drinkers may be linked to cholesterol metabolism disruptions.
Area of Science:
- Ethnobotany
- Dermatology
- Pharmacology
Background:
- Kava (Piper methysticum) is a traditional psychoactive beverage with a long history of ceremonial use in the Pacific Islands.
- It is a nonfermented depressant known for its tranquilizing effects.
- Kava consumption is associated with a distinct skin condition, kava dermopathy.
Purpose of the Study:
- To explore the historical context and dermatological manifestations of kava dermopathy.
- To review early reports of kava's cutaneous effects and their evolution.
- To discuss the current understanding and potential causes of kava dermopathy.
Main Methods:
- Historical review of ethnobotanical and medical literature.
- Analysis of early expedition reports, including those from Captain James Cook's voyages.
- Examination of dermatological descriptions of kava dermopathy.
Main Results:
- Cutaneous effects of kava were first noted during Captain James Cook's Pacific expeditions.
- Heavy kava drinkers develop a reversible ichthyosiform eruption, termed kava dermopathy.
- The exact cause of kava dermopathy remains unknown, with potential links to cholesterol metabolism.
Conclusions:
- Kava dermopathy represents a significant, yet under-documented, dermatological consequence of heavy kava consumption.
- Understanding its history provides insight into the complex effects of kava.
- Further research is needed to elucidate the precise mechanisms behind kava dermopathy.