I believe dermopathy can be achieved with fresh or dry kava...but you will get it much quicker with dry powder, quicker yet with dry
unpeeled kava and micronized kava or poorly strained kava. Fresh seems to give you a lot more leniency. Anecdotally, @Nemo used to say he'd go drink massive amounts fresh kava in Vanuatu everyday for a week or two and be fine...but if he ever decided to find a bag of dry powder when he was back home, the dermo would kick in fast. Others have made similar claims. Also, when you search online about kava dermopathy, Fiji seems to be the most referenced place for the condition and google images brings up images of Fijians with extreme dermopathy. Plus, as you know, there are several Kani Kani creams marketed in Fiji, but not elsewhere in the pacific as far as I'm aware, which at least suggests a higher frequency or severity of dermo there. -- Because of the kava forum discussions, the US might surpass Fiji in dermopathy references, but that would make sense since we are also drinking dry powder and drinking regularly. None of this is the evidence I'd really like though, I really want to see a twin-study where Twin "A" drinks drinks 8 Tbsp kava everyday for X amount of time, Twin "B" drinks the equivalent amount of fresh kava for the same duration. Both are drinking the same cultivar, from the same farm, with the same ratio of waka:lawena. Variations on the same test would be great too...waka vs. lawena, heady vs. heavy, peeled vs unpeeled, tudei vs high DHM noble.
![Awa Chugger ::chugger:: ::chugger::](/forum/styles/default/xenforo/smilies/chugger.gif)
@Kavacurious! Hands seem to show it the quickest, I used to think the hands got it worse from being submerged in the kava water when preparing the beverage, but I don't really think the whole hand gets submerged when I knead kava...just the fingers really. Anyway I've been drinking a lot of kava for many years and my hands are the only things I'd say looked aged or more wrinkly. I get dermopathy all over my body sometimes which has annoying prickly and itchy dry skin sensation associated with it, when that calms down then skin starts showing it's little dry lizard skin pattern and starts coming off like dusty dandruff. Sometimes certain areas get a kind of satin shimmer or sheen, that's usually the whitest sections of skin, like from my waist to my knees. When I get it really bad, sometimes I get dry patches on my face, but not too bad and I personally don't notice my face getting more wrinkly from it. Dermo left unchecked and un-lotioned can start making more raw rashy sections, beyond that of the dry, prickly skin...for me it usually happens under the armpits.
Anyway, I'm not sure the wrinkliness and kava-dermopathy are exactly the same. My wrinkle hands seem to persist whether or not I feel like I have dermopathy. With the exception of that, when I'm at the end of a major full body dermo...when the top layer of skin is all dried up and dying and it's barely clinging on...it can make the skin so thin and dry that even smooth baby-skin on the underside of my forearm can looks like it has fine wrinkles if I move it the right way. But it goes back to normal after skin falls off.
Another tid-bit..I recently got my friend into kava and he had only been drinking for about two weeks when he told me his hands were looking aged and dry. He showed me and sure enough, his palms looked weather beaten and the tops looked more wrinkled. He was also getting dry spots near his eyes and mouth...that was a really fast onset.