"Two years ago, I was shown photos of a severe skin condition which afflicted more than 80 persons on the tiny atoll of Satowan in Chuuk. Now, more than 100 persons on Satowan are affected and about 10 on the neighboring atoll of Lekinioch.
Affected persons develop thick, pink plaques, usually on the arms and legs – this appearance resulted in the nickname “Spam.” While the condition is not life-threatening, the people with the condition are sometimes ostracized and made to feel shame and embarrassment. Anecdotally, the plaques are more common in those who work or play outdoors (particularly taro farmers) and may sometimes occur following skin trauma.
The only treatment used on the plaques has been surgical debridement. Dr. Bosco Buliche who practices in Weno, the capital of Chuuk, has seen and photographed cases on Satowan. He has posted 5 cases on the Pacific Island Healthcare Project website (through TAMC), including one with biopsy results, which showed only nonspecific inflammation – we could transport only a fixed specimen, unfortunately. Opinions from various practitioners on the cause of the condition have run the gamut from “island psoriasis” to mycobacterial infection.
So, two years later, there is still no answer. It would be wonderful to find someone with the interest and resources to investigate the problem. Suggestions will be most welcome."
Clinical Photos:
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