Department of Medicine, University of California, San Diego Medical Center, 92103, USA.
Dermatol Clin. 2011 Jan;29(1):9-13. doi: 10.1016/j.det.2010.09.008.
Approximately 10% of the island population of Satowan (population, 650 persons), a small, remote coral island in the central Pacific, suffers from an acquired, chronic, disfiguring skin condition known locally as "spam." This skin disease has affected the island population since shortly after World War II. An investigation in 2007 revealed that this skin disease is caused by a nontuberculous mycobacterial infection closely related to Mycobacterium marinum. This article reviews the fascinating history of this skin disease on Satowan, its distinctive clinical presentation, and recommendations for diagnosis and treatment of clinically similar skin lesions in Pacific Islanders.
大约 10%的萨托万岛(人口 650 人)居民患有后天性、慢性、毁容性皮肤病,当地称为“spam”。这种皮肤病自二战后不久就开始影响该岛居民。2007 年的一项调查显示,这种皮肤病是由一种非结核分枝杆菌感染引起的,与海分枝杆菌密切相关。本文回顾了萨托万岛上这种皮肤病的迷人历史、其独特的临床表现,以及对太平洋岛民中具有相似临床表现的皮肤损伤的诊断和治疗建议。